TIMOTHY RAYMOND LARSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149085

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

RAYMOND

Last Name

LARSEN

Business Name

TIMOTHY RAYMOND LARSEN DO

Original Issue Date

04/18/2019

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023