ERIC JAMES ERICSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050933

License Status

CANCELLED

Business

First Name

ERIC

Middle

JAMES

Last Name

ERICSON

Suffix

Business Name

ERIC JAMES ERICSON MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/08/2009