CAROLYN NICOLE ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137804

License Status

NOT RENEWED

Business

Title

First Name

CAROLYN

Middle

NICOLE

Last Name

ERICKSON

Business Name

CAROLYN NICOLE ERICKSON MD

Original Issue Date

04/16/2015

Effective Date

04/16/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017