WILLIAM R LARSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037874

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

ROY

Last Name

LARSEN

Business Name

WILLIAM R LARSEN

Original Issue Date

09/12/1962

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

SCOTTSDALE

State

Zip

85258

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/14/2021