JENIFER A LARSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000313

License Status

EXPIRED

Business

First Name

JENIFER

Middle

Last Name

LARSEN

Suffix

Business Name

JENIFER A LARSEN MD

Original Issue Date

01/06/1996

Effective Date

01/06/1996

Expiration Date

03/13/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

09/25/2006