TAYLOR PAUL ERICKSEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DMD

First Name

TAYLOR

Middle

PAUL

Last Name

ERICKSEN

Business Name

TAYLOR PAUL ERICKSEN DMD

Original Issue Date

07/16/2015

Effective Date

07/16/2015

Expiration Date

09/30/2018

City

BOUNTIFUL

State

Zip

84010

County

UTAH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018