NYLE J LARSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001367

License Status

EXPIRED

Business

Title

First Name

NYLE

Middle

Last Name

LARSON

Business Name

NYLE J LARSON MD

Original Issue Date

08/24/2020

Effective Date

08/24/2020

Expiration Date

02/23/2021

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/20/2021