DECLAN W LARKIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018823

License Status

EXPIRED

Business

First Name

DECLAN W

Last Name

LARKIN

Suffix

Business Name

DECLAN W LARKIN MD

Original Issue Date

07/03/1985

Effective Date

07/03/1985

Expiration Date

07/01/1988

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006