JOHN R LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072286

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

LARSON

Suffix

Business Name

JOHN R LARSON MD

Original Issue Date

01/28/1986

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

BREMEN

State

Zip

46506

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017