ERIK MERTENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000341

License Status

EXPIRED

Business

First Name

ERIK

Last Name

MERTENS

Suffix

Business Name

ERIK MERTENS MD

Original Issue Date

04/01/2008

Effective Date

04/01/2008

Expiration Date

09/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

11/05/2008