BRIAN PATRICK LARSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050999

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

PATRICK

Last Name

LARSEN

Business Name

BRIAN PATRICK LARSEN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

HINSDALE

State

Zip

60521

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/08/2010