LATANJA MARIA WATKINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

LATANJA

Middle

MARIA

Last Name

WATKINS

Business Name

LATANJA MARIA WATKINS MD

Original Issue Date

01/08/2013

Effective Date

01/08/2013

Expiration Date

07/31/2014

City

FISHERS

State

Zip

46037

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020