L ROYCE LARSEN MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

ACTIVE

N

L ROYCE

LARSEN

MD

L ROYCE LARSEN MD

01/01/1997

06/27/2023

07/31/2026

MURPHYSBORO

IL

62966

JACKSON

II III IV V

N

06/27/2023