LARA MINCHILLO LELLIS NAVARRO MINCHILLO LOPES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171219

License Status

ACTIVE

Business

Title

First Name

LARA

Middle

MINCHILLO

Last Name

LELLIS NAVARRO MINCHILLO LOPES

Business Name

LARA MINCHILLO LELLIS NAVARRO MINCHILLO LOPES MD

Original Issue Date

07/18/2024

Effective Date

07/18/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2024