TIMOTHY RAYMOND LARSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

RAYMOND

Last Name

LARSEN

Business Name

TIMOTHY RAYMOND LARSEN DO

Original Issue Date

04/18/2019

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023