LARISSA N BERESTENKO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

LARISSA

Middle

Last Name

BERESTENKO

Business Name

LARISSA N BERESTENKO

Original Issue Date

03/06/2000

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023