DAVID DARREL LARSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016418

License Status

ACTIVE

Business

First Name

DAVID DARREL

Last Name

LARSON

Suffix

DMD

Business Name

DAVID DARREL LARSON DMD

Original Issue Date

07/11/1978

Effective Date

07/27/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2024