JENNIFER L LATTIMORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

JENNIFER L

Last Name

LATTIMORE

Suffix

Business Name

JENNIFER L LATTIMORE MD

Original Issue Date

10/28/1997

Effective Date

10/28/1997

Expiration Date

07/31/1999

City

ELGIN

State

Zip

60120

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006