LUVIANCA J FONSECA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105462

License Status

ACTIVE

Business

First Name

LUVIANCA

Middle

Last Name

FONSECA

Suffix

Business Name

LUVIANCA J FONSECA MD

Original Issue Date

08/23/2001

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

06/07/2023