JEFFREY KEITH ERICKSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

KEITH

Last Name

ERICKSON

Suffix

DDS

Business Name

JEFFREY KEITH ERICKSON DDS

Original Issue Date

01/01/1998

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

FORT LAUDERDALE

State

Zip

33308

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024