LATOYA JEANEEN PERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135406

License Status

NOT RENEWED

Business

Title

First Name

LATOYA

Middle

JEANEEN

Last Name

PERRY

Business Name

LATOYA JEANEEN PERRY MD

Original Issue Date

06/02/2014

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

SOUTH BEND

State

Zip

46601

Ever Disciplined

LastModifiedDate

01/14/2021