DAVID SCOTT LARSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027939

License Status

EXPIRED

Business

First Name

DAVID SCOTT

Last Name

LARSEN

Suffix

Business Name

DAVID SCOTT LARSEN MD

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006