JEFFREY KEITH ERICKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000199

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

KEITH

Last Name

ERICKSON

Suffix

DDS

Business Name

JEFFREY KEITH ERICKSON DDS

Original Issue Date

01/30/1990

Effective Date

07/06/2009

Expiration Date

09/30/2012

City

FORT LAUDERDALE

State

Zip

33308

County

FLORIDA

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/14/2012