Keith Edward Larson
ActiveMichigan license 5601002740
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601002740
- Status
- Active
- First issued
- December 30, 1996
- Expires
- December 30, 2028
- License holder
- Keith Edward Larson
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons