DENNIS PAUL LARSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

CANCELLED

Business

First Name

DENNIS PAUL

Last Name

LARSON

Suffix

Business Name

DENNIS PAUL LARSON MD

Original Issue Date

01/18/2011

Effective Date

08/16/2011

Expiration Date

07/31/2014

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020