WAYNE ELMER LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053444

License Status

NOT RENEWED

Business

First Name

WAYNE ELMER

Last Name

LARSON

Suffix

Business Name

WAYNE ELMER LARSON MD

Original Issue Date

08/25/1976

Effective Date

08/25/1976

Expiration Date

07/31/1984

City

TACOMA

State

Zip

98498

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006