WHITNEY MARIE LATHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

First Name

WHITNEY

Middle

MARIE

Last Name

LATHAM

Business Name

WHITNEY MARIE LATHAM

Original Issue Date

08/12/2010

Effective Date

01/04/2012

Expiration Date

03/01/2014

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014