ROBERT EUGENE ERICKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015812

License Status

NOT RENEWED

Business

First Name

ROBERT EUGENE

Last Name

ERICKSON

Suffix

DDS

Business Name

ROBERT EUGENE ERICKSON DDS

Original Issue Date

02/07/1977

Effective Date

02/07/1977

Expiration Date

09/30/1988

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005