JUSTIN MARK LAREAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

MARK

Last Name

LAREAU

Suffix

Business Name

JUSTIN MARK LAREAU MD

Original Issue Date

05/01/2014

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023