KERMIT CHARLES ERICSSON MD - Medical Doctor License in Michigan | # 036039234

KERMIT CHARLES ERICSSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039234

License Status

NOT RENEWED

Business

N

First Name

KERMIT CHARLES

Last Name

ERICSSON

Suffix

MD

Business Name

KERMIT CHARLES ERICSSON MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006