MICHAEL LARSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073601

License Status

EXPIRED

Business

First Name

MICHAEL

Last Name

LARSEN

Business Name

MICHAEL LARSEN

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/06/2024