JILL E LARSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059136

License Status

EXPIRED

Business

Title

First Name

JILL

Middle

Last Name

LARSON

Business Name

JILL E LARSON MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/16/2016