THOMAS W ERICKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

ERICKSON

Suffix

DDS

Business Name

THOMAS W ERICKSON DDS

Original Issue Date

01/01/1998

Effective Date

03/12/2010

Expiration Date

09/30/2012

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012