CAROLYN KELLY LAGATTUTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

CAROLYN

Middle

KELLY

Last Name

LAGATTUTA

Prefix

Business Name

CAROLYN KELLY LAGATTUTA DO

Original Issue Date

03/16/2020

Effective Date

09/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2023