Ralph I Latta

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125046283

Status

Expired

First issued

July 1, 2003

Expired

June 30, 2006

License holder

Ralph I Latta

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Family Medicine

Current term began

07/01/2003

Other Illinois licenses under this name

• IL
  Ralph I Latta

  License 036114358

  Licensed Physician and Surgeon (Medical Board)
  Active

  Benton, IL

  Expires Jul 31, 2029
• IL
  Ralph I Latta

  License 049115227

  Pharmacy Technician
  Expired

  Benton, IL

  Expired Mar 31, 1997
• IL
  Ralph I Latta

  License 33*****55

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Benton, IL

  Expires Jul 31, 2029

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