DAVID ALAN LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067913

License Status

NOT RENEWED

Business

First Name

DAVID ALAN

Last Name

LARSON

Suffix

Business Name

DAVID ALAN LARSON MD

Original Issue Date

11/07/1983

Effective Date

11/07/1983

Expiration Date

07/31/1999

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/20/2006