KARL C LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064673

License Status

NOT RENEWED

Business

First Name

KARL C

Last Name

LARSON

Suffix

Business Name

KARL C LARSON MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006