DENNIS PAUL LARSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

DENNIS PAUL

Last Name

LARSON

Suffix

Business Name

DENNIS PAUL LARSON MD

Original Issue Date

01/18/2011

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

INA

State

Zip

62846

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023