ERIC FREDERIC ERICSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139609

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

FREDERIC

Last Name

ERICSON

Business Name

ERIC FREDERIC ERICSON MD

Original Issue Date

01/15/2016

Effective Date

01/15/2016

Expiration Date

07/31/2017

City

CORALVILLE

State

Zip

52241

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017