NICOLE ELIZABETH LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

ELIZABETH

Last Name

LARSEN

Business Name

NICOLE ELIZABETH LARSEN MD

Original Issue Date

06/10/2022

Effective Date

06/10/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023