DOUGLAS LARSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023