CAMILLA Z LARSEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108645

License Status

ACTIVE

Business

First Name

CAMILLA

Middle

Last Name

LARSEN

Business Name

CAMILLA Z LARSEN

Original Issue Date

02/24/2003

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

06/20/2023