CHRISTINE E LARSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

Last Name

LARSON

Business Name

CHRISTINE E LARSON

Original Issue Date

03/27/2001

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025