ERIK J CONSTANCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021982

License Status

EXPIRED

Business

First Name

ERIK J

Last Name

CONSTANCE

Suffix

Business Name

ERIK J CONSTANCE MD

Original Issue Date

05/05/1988

Effective Date

05/05/1988

Expiration Date

06/26/1991

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006