License holder summary

KEITH EDWARD LARSON is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 12/30/1996 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

KEITH EDWARD LARSON
Physicians Assistants - Physician Assistant
License number
5601002740
Date granted
12/30/1996
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39308967
LAST UPDATED 2024-01-24 12:53:47 UTC

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