ERIC FREDERIC ERICSON MD - Medical Doctor License in Iowa | # 036139609

ERIC FREDERIC ERICSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139609

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ERIC

Middle

FREDERIC

Last Name

ERICSON

Business Name

ERIC FREDERIC ERICSON MD

Original Issue Date

01/15/2016

Effective Date

01/15/2016

Expiration Date

07/31/2017

State

IA

Ever Disciplined

N

LastModifiedDate

11/01/2017