TODD ROBERT LARSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125339

License Status

NOT RENEWED

Business

Title

First Name

TODD

Middle

ROBERT

Last Name

LARSON

Business Name

TODD ROBERT LARSON DO

Original Issue Date

03/30/2010

Effective Date

03/30/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011