GWEN ELAINE ERKONEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125175

License Status

NOT RENEWED

Business

Title

First Name

GWEN

Middle

ELAINE

Last Name

ERKONEN

Business Name

GWEN ELAINE ERKONEN MD

Original Issue Date

03/12/2010

Effective Date

03/12/2010

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011