SUSAN PIROS LARSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049010

License Status

EXPIRED

Business

First Name

SUSAN

Middle

PIROS

Last Name

LARSON

Suffix

Business Name

SUSAN PIROS LARSON MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

07/15/2009