License holder summary

AUTUMN LORRAINE LARSON is a Board Of Medicine licensed to practice in Idaho. The address on file for AUTUMN LORRAINE LARSON is 1269 E. 1900 N. North Logan UT 84341. This licensed professional license is not current. The license was granted 03/20/2003 and expired on 07/08/2004.

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

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