LARISA IGOREVNA MACEDO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034964

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2024