DANE MARC LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098809

License Status

NOT RENEWED

Business

First Name

DANE MARC

Last Name

LARSEN

Suffix

Business Name

DANE MARC LARSEN MD

Original Issue Date

08/18/1998

Effective Date

08/18/1998

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/03/2017