DAVID DARREL LARSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

DAVID DARREL

Last Name

LARSON

Suffix

DMD

Business Name

DAVID DARREL LARSON DMD

Original Issue Date

01/01/1998

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024