JONATHAN DAVID LATTELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

DAVID

Last Name

LATTELL

Business Name

JONATHAN DAVID LATTELL MD

Original Issue Date

11/01/2024

Effective Date

11/01/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2025