Idaho
Division of Occupational and Professional Licenses
AUTUMN LORRAINE LARSON
Board Of Medicine
License number
LRT-990
Date granted
03/20/2003
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
1269 E. 1900 N. North Logan UT 84341
idaholicensing.com
ID 48363059
LAST UPDATED 2026-04-13 13:52:25 UTC
LAST UPDATED 2026-04-13 13:52:25 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.