DECLAN W LARKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073873

License Status

NOT RENEWED

Business

First Name

DECLAN W

Last Name

LARKIN

Suffix

Business Name

DECLAN W LARKIN MD

Original Issue Date

10/03/1986

Effective Date

10/03/1986

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006