Gerald Lee Larson Dds
ExpiredIllinois license 019011731
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019011731
- Status
- Expired (Not Renewed)
- First issued
- August 1, 1960
- License holder
- Gerald Lee Larson Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/01/1960
Contact
Madison, WI 53711
Wisconsin County