BARBARA ALICE LATENSER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

ALICE

Last Name

LATENSER

Suffix

Business Name

BARBARA ALICE LATENSER MD

Original Issue Date

02/10/1999

Effective Date

02/10/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006