REYNOLD THORVALD LARSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038127

License Status

INACTIVE

Business

First Name

REYNOLD THORVALD

Last Name

LARSEN

Suffix

Business Name

REYNOLD THORVALD LARSEN MD

Original Issue Date

10/04/1962

Effective Date

10/04/1962

Expiration Date

07/31/1987

City

NEWPORT

State

Zip

02840

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006