DOUGLAS B LARSEN DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****04

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

LARSEN

Suffix

DVM

Business Name

DOUGLAS B LARSEN DVM

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005