LARRY O SY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

LARRY

Middle

Last Name

Suffix

Business Name

LARRY O SY MD

Original Issue Date

11/09/1994

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023