LARRY SCOTT DENCKLAU DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112818

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

SCOTT

Last Name

DENCKLAU

Suffix

Business Name

LARRY SCOTT DENCKLAU DO

Original Issue Date

12/28/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008