MADELINE ROSE LARSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009052

License Status

ACTIVE

Business

First Name

MADELINE

Middle

ROSE

Last Name

LARSEN

Business Name

MADELINE ROSE LARSEN

Original Issue Date

07/16/2022

Effective Date

03/04/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026