License holder summary

Thomas Larsen is a Medical Residency Permit licensed to practice in Indiana. The address on file for Thomas Larsen is South Bend IN 46601-1035. This licensed professional license is current. The license was granted 06/22/2012 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Thomas Larsen
Medical Residency Permit
License number
11016862A
Date granted
06/22/2012
Date expires
06/30/2015
Class
Medical Residency Permit
Status
Active
Address
South Bend IN 46601-1035
indianalicensing.org
ID 5996884
LAST UPDATED 2024-02-23 06:14:56 UTC

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