CHARLES JOHN LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042894

License Status

NOT RENEWED

Business

First Name

CHARLES JOHN

Last Name

LARSON

Suffix

Business Name

CHARLES JOHN LARSON MD

Original Issue Date

09/16/1969

Effective Date

09/16/1969

City

APO SAN FRANCISCO

State

Zip

96330

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006