KATIE LYNN VANNATTA DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****67

ACTIVE

N

DO

KATIE

LYNN

VANNATTA

KATIE LYNN VANNATTA DO

02/09/2022

04/07/2023

07/31/2026

OLYMPIA FIELDS

IL

60461

COOK

PRACTITIONER

II III IV V

N

04/07/2023