KARL C LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

KARL C

Last Name

LARSON

Suffix

Business Name

KARL C LARSON MD

Original Issue Date

01/25/1983

Effective Date

01/25/1983

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006