GORDON L LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086986

License Status

NOT RENEWED

Business

First Name

GORDON L

Last Name

LARSEN

Suffix

Business Name

GORDON L LARSEN MD

Original Issue Date

07/27/1993

Effective Date

07/27/1993

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006