JOHN M LARSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068850

License Status

INACTIVE

Business

First Name

JOHN M

Last Name

LARSEN

Suffix

Business Name

JOHN M LARSEN MD

Original Issue Date

06/18/1984

Effective Date

06/18/1984

Expiration Date

07/31/1987

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/16/2007