MATTHEW T LARSEN - Podiatrist License in Illinois | # 135000286

MATTHEW T LARSEN

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000286

License Status

EXPIRED

Business

N

First Name

MATTHEW

Middle

T

Last Name

LARSEN

Business Name

MATTHEW T LARSEN

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

06/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006