JAN MARIE LARSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072117

License Status

NOT RENEWED

Business

First Name

JAN MARIE

Last Name

LARSON

Business Name

JAN MARIE LARSON

Original Issue Date

12/06/1985

Effective Date

12/06/1985

Expiration Date

07/31/1993

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006