LEIF-DAVID ERIKSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087365

License Status

NOT RENEWED

Business

First Name

LEIF-DAVID

Last Name

ERIKSEN

Business Name

LEIF-DAVID ERIKSEN

Original Issue Date

09/02/1993

Effective Date

09/02/1993

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006