MATTHEW T LARSEN Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000286

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

LARSEN

Business Name

MATTHEW T LARSEN

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

06/30/1998

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006