BRUCE A LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050387

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

LARSON

Suffix

Business Name

BRUCE A LARSON MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006