Department of State
Board of Medicine
LARISSA MARIE CHISM
Graduate Medical Trainee
License number
MT182142
Date granted
05/29/2003
Date expires
06/30/2008
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19119
medicinepa.com
ID 37524539
LAST UPDATED 2026-03-15 15:01:54 UTC
LAST UPDATED 2026-03-15 15:01:54 UTC
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