ELIZABETH ROSE LARSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

ROSE

Last Name

LARSEN

Business Name

ELIZABETH ROSE LARSEN MD

Original Issue Date

09/03/2020

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

07/26/2023