DENNIS PAUL LARSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

DENNIS PAUL

Last Name

LARSON

Suffix

Business Name

DENNIS PAUL LARSON MD

Original Issue Date

12/24/1992

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023