GUNNAR L LARSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071871

License Status

INACTIVE

Business

First Name

GUNNAR L

Last Name

LARSON

Suffix

Business Name

GUNNAR L LARSON MD

Original Issue Date

10/16/1985

Effective Date

10/16/1985

Expiration Date

07/31/1996

City

WAUWATOSA

State

Zip

53222

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006