LATA G SANTA INES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

LATA

Middle

Last Name

SANTA INES

Suffix

Business Name

LATA G SANTA INES MD

Original Issue Date

07/29/2009

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023