MOLLY PHYLLIS ERICSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030000

License Status

ACTIVE

Business

Title

DMD

First Name

MOLLY

Middle

PHYLLIS

Last Name

ERICSON

Business Name

MOLLY PHYLLIS ERICSON DMD

Original Issue Date

08/01/2014

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/04/2024