AMY S LARSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106772

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

LARSON

Business Name

AMY S LARSON

Original Issue Date

04/15/2002

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

06/07/2023