GUILLERMO ALFONS LATIFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

GUILLERMO ALFONS

Last Name

LATIFF

Suffix

Business Name

GUILLERMO ALFONS LATIFF MD

Original Issue Date

09/23/1993

Effective Date

09/23/1993

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006