WILLIAM R LARSEN - Medical Doctor License in Arizona | # 036037874

WILLIAM R LARSEN

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037874

License Status

NOT RENEWED

Business

N

First Name

WILLIAM

Middle

ROY

Last Name

LARSEN

Business Name

WILLIAM R LARSEN

Original Issue Date

09/12/1962

Effective Date

06/08/2017

Expiration Date

09/30/2020

State

AZ

Ever Disciplined

N

LastModifiedDate

01/14/2021