DONALD PAUL ERICKSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027950

License Status

EXPIRED

Business

First Name

DONALD PAUL

Last Name

ERICKSEN

Business Name

DONALD PAUL ERICKSEN

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

06/30/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006