JEFFREY A LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138400

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

Last Name

LARSON

Business Name

JEFFREY A LARSON MD

Original Issue Date

06/22/2015

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021