LATANJA MARIA WATKINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131914

License Status

ACTIVE

Business

Title

First Name

LATANJA

Middle

MARIA

Last Name

WATKINS

Business Name

LATANJA MARIA WATKINS MD

Original Issue Date

01/08/2013

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

FISHERS

State

Zip

46038

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2023