GAIL SUSAN ERICKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003373

License Status

NOT RENEWED

Business

First Name

GAIL SUSAN

Last Name

ERICKSON

Business Name

GAIL SUSAN ERICKSON

Original Issue Date

09/29/1977

Effective Date

09/29/1977

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005