DENNIS PAUL LARSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

CANCELLED

Business

First Name

DENNIS PAUL

Last Name

LARSON

Suffix

Business Name

DENNIS PAUL LARSON MD

Original Issue Date

08/30/1999

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020