ERIC MICHAEL VIKINGSTAD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056478

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

MICHAEL

Last Name

VIKINGSTAD

Business Name

ERIC MICHAEL VIKINGSTAD MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010