JOHN KEITH LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055612

License Status

NOT RENEWED

Business

First Name

JOHN KEITH

Last Name

LARSON

Suffix

Business Name

JOHN KEITH LARSON MD

Original Issue Date

08/22/1977

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017