MATTHEW W LARSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054434

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

Last Name

LARSEN

Business Name

MATTHEW W LARSEN MD

Original Issue Date

06/30/2008

Effective Date

06/30/2008

Expiration Date

06/29/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2011