DAVID LARSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000187

License Status

EXPIRED

Business

First Name

DAVID

Last Name

LARSEN

Suffix

Business Name

DAVID LARSEN MD

Original Issue Date

03/01/2003

Effective Date

03/01/2003

Expiration Date

08/30/2003

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006