LARISSA VIANA FURTADO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133808

License Status

NOT RENEWED

Business

Title

First Name

LARISSA

Middle

VIANA

Last Name

FURTADO

Business Name

LARISSA VIANA FURTADO MD

Original Issue Date

08/16/2013

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017