LARA M ERICKSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

LARA M

Last Name

ERICKSON

Suffix

DMD

Business Name

LARA M ERICKSON DMD

Original Issue Date

02/20/1996

Effective Date

10/21/2021

Expiration Date

09/30/2024

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025