MILDRED B LATHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002908

License Status

ACTIVE

Business

First Name

MILDRED

Middle

Last Name

LATHAM

Business Name

MILDRED B LATHAM

Original Issue Date

12/08/2006

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

02/23/2026