JONATHAN L LARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091166

License Status

NOT RENEWED

Business

First Name

JONATHAN L

Last Name

LARSEN

Suffix

Business Name

JONATHAN L LARSEN MD

Original Issue Date

07/03/1995

Effective Date

07/03/1995

Expiration Date

07/31/2002

City

ALBANY

State

Zip

97321

Ever Disciplined

LastModifiedDate

06/16/2016