BRADLEY ALLAN ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115255

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

ALLAN

Last Name

ERICKSON

Suffix

Business Name

BRADLEY ALLAN ERICKSON MD

Original Issue Date

02/16/2006

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011