JULIE A ERICSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026447

License Status

EXPIRED

Business

First Name

JULIE A

Last Name

ERICSON

Suffix

Business Name

JULIE A ERICSON MD

Original Issue Date

05/06/1991

Effective Date

05/06/1991

Expiration Date

06/30/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006