BRIDGET KILLEEN LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149038

License Status

NOT RENEWED

Business

Title

First Name

BRIDGET

Middle

KILLEEN

Last Name

LARSON

Business Name

BRIDGET KILLEEN LARSON MD

Original Issue Date

04/15/2019

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

MILWAUKEE

State

Zip

53202

Ever Disciplined

LastModifiedDate

11/30/2023