BRAD J LARSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066866

License Status

INACTIVE

Business

First Name

BRAD J

Last Name

LARSON

Suffix

Business Name

BRAD J LARSON MD

Original Issue Date

06/30/1983

Effective Date

06/30/1983

Expiration Date

07/31/1987

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006