DAVID C LARSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004756

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

LARSEN

Business Name

DAVID C LARSEN

Original Issue Date

09/07/1995

Effective Date

09/07/1995

Expiration Date

01/31/1997

City

CABLE

State

Zip

54821

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006