KRISTINE M LARSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

LARSEN

Business Name

KRISTINE M LARSEN

Original Issue Date

05/21/2001

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026