CHRIS ALLEN LARSON DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

CANCELLED

Business

First Name

CHRIS ALLEN

Last Name

LARSON

Suffix

DDS

Business Name

CHRIS ALLEN LARSON DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005