DANA LAKATOS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

INOPERATIVE

Business

First Name

DANA

Last Name

LAKATOS

Business Name

DANA LAKATOS

Original Issue Date

05/01/2002

Effective Date

02/12/2020

Expiration Date

03/01/2022

City

SPARTA

State

Zip

62286

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/03/2022