KRISTINE M LARSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000355

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

LARSEN

Business Name

KRISTINE M LARSEN

Original Issue Date

05/01/1988

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/20/2026