DOUGLAS LARSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157020

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Last Name

LARSEN

Business Name

DOUGLAS LARSEN MD

Original Issue Date

05/21/2021

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/25/2023