PAUL DOUGLAS LARSEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018482

License Status

ACTIVE

Business

First Name

PAUL

Middle

DOUGLAS

Last Name

LARSEN

Suffix

DDS

Business Name

PAUL DOUGLAS LARSEN DDS

Original Issue Date

02/23/1983

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/10/2024