ERIC M LARSEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****91

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017