JEANNETTE MARIE LARSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001616

License Status

EXPIRED

Business

First Name

JEANNETTE

Middle

MARIE

Last Name

LARSON

Business Name

JEANNETTE MARIE LARSON

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

12/31/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/29/2025