MARIANNE B LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042065

License Status

NOT RENEWED

Business

First Name

MARIANNE B

Last Name

LARSEN

Suffix

Business Name

MARIANNE B LARSEN MD

Original Issue Date

08/01/1968

Effective Date

06/11/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023