LARS KRISTIAN RIKARDSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067370

License Status

CANCELLED

Business

Title

First Name

LARS

Middle

KRISTIAN

Last Name

RIKARDSEN

Business Name

LARS KRISTIAN RIKARDSEN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/04/2015