BRYCE ALAN LARSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

Title

DMD

First Name

BRYCE

Middle

ALAN

Last Name

LARSON

Business Name

BRYCE ALAN LARSON DMD

Original Issue Date

07/02/2015

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2024