CRAIG STEVEN LARSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038461

License Status

EXPIRED

Business

First Name

CRAIG

Middle

STEVEN

Last Name

LARSON

Suffix

Business Name

CRAIG STEVEN LARSON MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006