LARA K BONASERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106687

License Status

ACTIVE

Business

First Name

LARA

Middle

Last Name

BONASERA

Suffix

Business Name

LARA K BONASERA MD

Original Issue Date

04/02/2002

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

12/19/2023