KRISTIAN RUSSELL LARSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172655

License Status

ACTIVE

Business

Title

First Name

KRISTIAN

Middle

RUSSELL

Last Name

LARSON

Business Name

KRISTIAN RUSSELL LARSON MD

Original Issue Date

11/07/2024

Effective Date

11/07/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/29/2024