JENIFER A LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095930

License Status

NOT RENEWED

Business

First Name

JENIFER

Middle

Last Name

LARSEN

Suffix

Business Name

JENIFER A LARSEN MD

Original Issue Date

07/02/1997

Effective Date

07/02/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2009