DALE M LARSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072387

License Status

INACTIVE

Business

First Name

DALE M

Last Name

LARSON

Suffix

Business Name

DALE M LARSON MD

Original Issue Date

03/13/1986

Effective Date

03/13/1986

Expiration Date

07/31/1987

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006