ERIK JOHN FOSSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147277

License Status

ACTIVE

Business

Title

First Name

ERIK

Middle

JOHN

Last Name

FOSSEN

Business Name

ERIK JOHN FOSSEN DO

Original Issue Date

08/20/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

Ever Disciplined

LastModifiedDate

04/06/2023