LEIF-DAVID ERIKSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026380

License Status

EXPIRED

Business

First Name

LEIF-DAVID

Last Name

ERIKSEN

Business Name

LEIF-DAVID ERIKSEN

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

06/23/1994

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006