SUZIE ELIZABETH LARSEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

Title

DMD

First Name

SUZIE

Middle

ELIZABETH

Last Name

LARSEN

Business Name

SUZIE ELIZABETH LARSEN DMD

Original Issue Date

05/30/2017

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024