LARA K BONASERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040959

License Status

EXPIRED

Business

First Name

LARA

Middle

Last Name

BONASERA

Suffix

Business Name

LARA K BONASERA MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006