JUSTIN CURTIS LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

CURTIS

Last Name

LARSON

Business Name

JUSTIN CURTIS LARSON MD

Original Issue Date

03/11/2020

Effective Date

03/11/2020

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021