LARISSA MARIE CHISM BUGGS MD - Medical Doctor License in Indiana | # 33*****69

LARISSA MARIE CHISM BUGGS MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

N

Title

MD

First Name

LARISSA

Middle

MARIE

Last Name

CHISM BUGGS

Business Name

LARISSA MARIE CHISM BUGGS MD

Original Issue Date

04/07/2023

Effective Date

04/07/2023

Expiration Date

07/31/2026

State

IN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/07/2023