LARISSA RAE PAVONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125665

License Status

ACTIVE

Business

Title

First Name

LARISSA

Middle

RAE

Last Name

PAVONE

Business Name

LARISSA RAE PAVONE MD

Original Issue Date

05/04/2010

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2023