FORREST EDWARD ERICKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009142

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005