WADE STEVEN ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103424

License Status

NOT RENEWED

Business

First Name

WADE

Middle

STEVEN

Last Name

ERICKSON

Suffix

Business Name

WADE STEVEN ERICKSON MD

Original Issue Date

09/07/2000

Effective Date

09/07/2000

Expiration Date

07/31/2002

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006