JOHN WILLIAM LARSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

JOHN WILLIAM

Last Name

LARSON

Suffix

DMD

Business Name

JOHN WILLIAM LARSON DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005