STEVEN S LARSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

STEVEN S

Last Name

LARSEN

Business Name

STEVEN S LARSEN

Original Issue Date

12/06/1984

Effective Date

12/06/1984

Expiration Date

09/30/1986

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005