WAYNE MICHAEL LARSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146116

License Status

ACTIVE

Business

Title

First Name

WAYNE

Middle

MICHAEL

Last Name

LARSON

Business Name

WAYNE MICHAEL LARSON MD

Original Issue Date

05/14/2018

Effective Date

10/18/2023

Expiration Date

07/31/2026

City

FORT LAUDERDALE

State

Zip

33305

Ever Disciplined

LastModifiedDate

10/18/2023