MARIANNE B LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

MARIANNE B

Last Name

LARSEN

Suffix

Business Name

MARIANNE B LARSEN MD

Original Issue Date

01/01/1997

Effective Date

06/11/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/30/2023