JUSTIN MARK LAREAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

MARK

Last Name

LAREAU

Suffix

Business Name

JUSTIN MARK LAREAU MD

Original Issue Date

09/15/2009

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023