MICHAEL S LARSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050092

License Status

INACTIVE

Business

First Name

MICHAEL S

Last Name

LARSON

Suffix

Business Name

MICHAEL S LARSON MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

Expiration Date

07/31/2005

City

SAINT JOSEPH

State

Zip

49085

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006