CARISSA A BUENVENIDA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092596

License Status

ACTIVE

Business

First Name

CARISSA A

Last Name

BUENVENIDA

Business Name

CARISSA A BUENVENIDA

Original Issue Date

04/13/1996

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023