DECLAN W LARKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

DECLAN W

Last Name

LARKIN

Suffix

Business Name

DECLAN W LARKIN MD

Original Issue Date

02/18/1987

Effective Date

02/18/1987

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61707

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006