ALEXANDRA LOUISE LARSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059458

License Status

CANCELLED

Business

Title

First Name

ALEXANDRA

Middle

LOUISE

Last Name

LARSON

Business Name

ALEXANDRA LOUISE LARSON MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

DAVENPORT

State

Zip

52803

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/24/2014