MARY BETH LATAYAN SINCHAI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

MARY BETH

Middle

LATAYAN

Last Name

SINCHAI

Business Name

MARY BETH LATAYAN SINCHAI

Original Issue Date

04/05/2007

Effective Date

04/05/2007

Expiration Date

07/31/2008

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008