License holder summary

DAVID JOSEPH LARSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DAVID JOSEPH LARSEN is 1151 HOSPITAL WAY BLDG F POCATELLO ID 83201. This licensed professional license is not current. The license was granted 05/18/2015 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

DAVID JOSEPH LARSEN
Board Of Medicine
License number
MRM-1504
Date granted
05/18/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
1151 HOSPITAL WAY BLDG F POCATELLO ID 83201
idaholicensing.com
ID 48363032
LAST UPDATED 2024-03-18 06:43:51 UTC

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