LENA VIRASCH DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****03

ACTIVE

N

DO

LENA

VIRASCH

LENA VIRASCH DO

03/05/2019

06/23/2023

07/31/2026

BUFFALO GROVE

IL

60089

LAKE

PRACTITIONER

II III IV V

N

06/23/2023