JONATHAN L LARSEN MD
Licensed Physician Controlled Substance
Illinois 336052762 Canceled
This Illinois license was held by JONATHAN L LARSEN MD. The license is no longer active. It was granted on 08/24/1995 and expired on 07/31/2002
LICENSE DETAILS
- License Number: 336052762
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 08/24/1995 (over 28 years ago)
- Expiry Date: 07/31/2002 (over 21 years ago)
LOCATIONS
A Address
Albany, OR 97321-1261