JEROME WILLIAM LARSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062965

License Status

EXPIRED

Business

First Name

JEROME

Middle

WILLIAM

Last Name

LARSON

Suffix

Business Name

JEROME WILLIAM LARSON MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015