ERIC M LARSEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005634

License Status

NOT RENEWED

Business

Title

DPM

First Name

ERIC

Middle

Last Name

LARSEN

Business Name

ERIC M LARSEN DPM

Original Issue Date

12/01/2014

Effective Date

12/01/2014

Expiration Date

01/31/2017

City

PACE

State

Zip

32571

Ever Disciplined

LastModifiedDate

03/27/2017