ERIK JOHN IVERSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036510

License Status

EXPIRED

Business

Title

First Name

ERIK

Middle

JOHN

Last Name

IVERSEN

Business Name

ERIK JOHN IVERSEN MD

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2016