ALLEN A ERISMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038350

License Status

EXPIRED

Business

First Name

ALLEN

Middle

Last Name

ERISMAN

Suffix

Business Name

ALLEN A ERISMAN DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/2001

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006