KRISTI ELLEN ERICKSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

KRISTI

Middle

ELLEN

Last Name

ERICKSON

Suffix

DMD

Business Name

KRISTI ELLEN ERICKSON DMD

Original Issue Date

05/09/2017

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024