LARA M ERICKSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023978

License Status

ACTIVE

Business

First Name

LARA M

Last Name

ERICKSON

Suffix

DMD

Business Name

LARA M ERICKSON DMD

Original Issue Date

09/22/1995

Effective Date

07/20/2024

Expiration Date

09/30/2027

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

07/20/2024