FORREST EDWARD ERICKSON DDS - Dentist License in Illinois | # 019009142

FORREST EDWARD ERICKSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009142

License Status

NOT RENEWED

Business

N

First Name

FORREST EDWARD

Last Name

ERICKSON

Suffix

DDS

Business Name

FORREST EDWARD ERICKSON DDS

Original Issue Date

09/11/1946

Effective Date

09/11/1946

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005