ERNEST OATLEY LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037903

License Status

NOT RENEWED

Business

First Name

ERNEST OATLEY

Last Name

LARSON

Suffix

Business Name

ERNEST OATLEY LARSON MD

Original Issue Date

09/13/1962

Effective Date

09/13/1962

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/20/2006