JUSTIN CURTIS LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150740

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

CURTIS

Last Name

LARSON

Business Name

JUSTIN CURTIS LARSON MD

Original Issue Date

09/13/2019

Effective Date

09/13/2019

Expiration Date

09/30/2020

City

STONY BROOK

State

Zip

11790

Ever Disciplined

LastModifiedDate

01/14/2021