JOHN KEITH LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

JOHN KEITH

Last Name

LARSON

Suffix

Business Name

JOHN KEITH LARSON MD

Original Issue Date

01/01/1997

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017