JOHN G LATALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

JOHN G

Last Name

LATALL

Suffix

Business Name

JOHN G LATALL MD

Original Issue Date

11/22/1994

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/17/2023