WILLIAM T LARSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

Last Name

LARSEN

Business Name

WILLIAM T LARSEN

Original Issue Date

10/13/2015

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026