ERIC E ERICKSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026995

License Status

EXPIRED

Business

First Name

ERIC E

Last Name

ERICKSON

Business Name

ERIC E ERICKSON

Original Issue Date

05/29/1991

Effective Date

05/29/1991

Expiration Date

08/04/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006