CARLOS LARA MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****01

ACTIVE

N

MD

CARLOS

LARA

CARLOS LARA MD

06/24/2023

06/24/2023

07/31/2026

CHICAGO

IL

60637

COOK

PRACTITIONER

II III IV V

N

06/24/2023