LARISSA MARIE CHISM BUGGS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163676

License Status

ACTIVE

Business

Title

First Name

LARISSA

Middle

MARIE

Last Name

CHISM BUGGS

Business Name

LARISSA MARIE CHISM BUGGS MD

Original Issue Date

02/14/2023

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

SOUTH BEND

State

Zip

46628

Ever Disciplined

LastModifiedDate

10/11/2023