LARA K BONASERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

LARA

Middle

Last Name

BONASERA

Suffix

Business Name

LARA K BONASERA MD

Original Issue Date

04/25/2002

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2023