ROSS EUGENE LARSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077147

License Status

CANCELLED

Business

Title

First Name

ROSS

Middle

EUGENE

Last Name

LARSON

Business Name

ROSS EUGENE LARSON MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/22/2020