DAVID C LARSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

LARSEN

Business Name

DAVID C LARSEN

Original Issue Date

11/16/1995

Effective Date

11/16/1995

Expiration Date

01/31/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006