MARK F ERICKSON Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000124

License Status

EXPIRED

Business

First Name

MARK F

Last Name

ERICKSON

Business Name

MARK F ERICKSON

Original Issue Date

07/01/1985

Effective Date

07/01/1985

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005