ERIK D SANDSTROM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099037

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

Last Name

SANDSTROM

Business Name

ERIK D SANDSTROM

Original Issue Date

09/14/1998

Effective Date

09/14/1998

Expiration Date

07/31/1999

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/23/2013