LARRY SCOTT DENCKLAU DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042902

License Status

EXPIRED

Business

First Name

LARRY

Middle

SCOTT

Last Name

DENCKLAU

Suffix

Business Name

LARRY SCOTT DENCKLAU DO

Original Issue Date

01/01/2003

Effective Date

01/01/2003

Expiration Date

12/31/2004

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006