CHINAR OMPRAKASH LATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167226

License Status

ACTIVE

Business

Title

First Name

CHINAR

Middle

OMPRAKASH

Last Name

LATH

Business Name

CHINAR OMPRAKASH LATH MD

Original Issue Date

09/29/2023

Effective Date

09/29/2023

Expiration Date

07/31/2026

City

WAUWATOSA

State

Zip

53226

Ever Disciplined

LastModifiedDate

11/11/2024