PAUL MICHAEL LARSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140112

License Status

INACTIVE

Business

Title

First Name

PAUL

Middle

MICHAEL

Last Name

LARSEN

Business Name

PAUL MICHAEL LARSEN MD

Original Issue Date

03/23/2016

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020