KIM ELVIN LARSON - Dentist License in Illinois | # 019018967

KIM ELVIN LARSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018967

License Status

NOT RENEWED

Business

N

First Name

KIM ELVIN

Last Name

LARSON

Business Name

KIM ELVIN LARSON

Original Issue Date

02/24/1984

Effective Date

02/24/1984

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005