JOHN R LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

LARSON

Suffix

Business Name

JOHN R LARSON MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

07/31/1996

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017