BRUCE CHARLES LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066594

License Status

NOT RENEWED

Business

First Name

BRUCE CHARLES

Last Name

LARSON

Suffix

Business Name

BRUCE CHARLES LARSON MD

Original Issue Date

06/01/1983

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021