GERALD M LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054181

License Status

NOT RENEWED

Business

First Name

GERALD M

Last Name

LARSON

Suffix

Business Name

GERALD M LARSON MD

Original Issue Date

02/15/1977

Effective Date

02/15/1977

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006