LARISA IGOREVNA MACEDO DMD - Dentist License in Illinois | # 019034964

LARISA IGOREVNA MACEDO DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034964

License Status

ACTIVE

Business

N

Title

DMD

First Name

LARISA

Middle

IGOREVNA

Last Name

MACEDO

Business Name

LARISA IGOREVNA MACEDO DMD

Original Issue Date

03/21/2024

Effective Date

07/01/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

07/01/2024