PAUL M ERICKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

PAUL M

Last Name

ERICKSON

Suffix

DDS

Business Name

PAUL M ERICKSON DDS

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005