ELIZABETH ROSE LARSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

ROSE

Last Name

LARSEN

Business Name

ELIZABETH ROSE LARSEN MD

Original Issue Date

07/13/2018

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

LANSING

State

Zip

60438

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023