GENA LATI HARRISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156033

License Status

NOT RENEWED

Business

Title

First Name

GENA

Middle

LATI

Last Name

HARRISON

Business Name

GENA LATI HARRISON MD

Original Issue Date

03/12/2021

Effective Date

03/12/2021

Expiration Date

07/31/2023

City

WEST BLOOMFIELD

State

Zip

48322

Ever Disciplined

LastModifiedDate

11/30/2023