MARK F ERICKSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000271

License Status

ACTIVE

Business

First Name

MARK F

Last Name

ERICKSON

Business Name

MARK F ERICKSON

Original Issue Date

09/21/1990

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/02/2024