LARISSA WENREN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175621

License Status

ACTIVE

Business

Title

First Name

LARISSA

Last Name

WENREN

Business Name

LARISSA WENREN MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

ADAMS

Ever Disciplined

LastModifiedDate

06/24/2025