ERIK PETER EVENSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040576

License Status

EXPIRED

Business

First Name

ERIK

Middle

PETER

Last Name

EVENSEN

Suffix

Business Name

ERIK PETER EVENSEN DO

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/19/2003

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006