STEPHEN MARCUS LARSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056789

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

MARCUS

Last Name

LARSEN

Suffix

Business Name

STEPHEN MARCUS LARSEN MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/13/2015