LARA MINCHILLO LELLIS NAVARRO MINCHILLO LOPES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079137

License Status

CANCELLED

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

07/19/2021

Effective Date

07/19/2021

Expiration Date

07/18/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Vascular Surgery Integrated

Ever Disciplined

LastModifiedDate

07/19/2021