ERIK M GERDES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111754

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

Last Name

GERDES

Business Name

ERIK M GERDES

Original Issue Date

07/02/2004

Effective Date

07/02/2004

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/03/2012