JASON MARCUS ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104443

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MARCUS

Last Name

ERICKSON

Suffix

Business Name

JASON MARCUS ERICKSON MD

Original Issue Date

04/03/2001

Effective Date

04/03/2001

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006