LARRY C MATSUMOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091167

License Status

NOT RENEWED

Business

First Name

LARRY C

Last Name

MATSUMOTO

Suffix

Business Name

LARRY C MATSUMOTO MD

Original Issue Date

07/03/1995

Effective Date

07/03/1995

Expiration Date

07/31/1999

City

WILLOWBROOK

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006