DAVID L ERICSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117087

License Status

ACTIVE

Business

First Name

DAVID L

Last Name

ERICSON

Business Name

DAVID L ERICSON

Original Issue Date

10/24/2006

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2023