BRENDA L ERIKSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019314

License Status

EXPIRED

Business

First Name

BRENDA L

Last Name

ERIKSEN

Suffix

Business Name

BRENDA L ERIKSEN MD

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

06/24/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006