ERIK PAUL GULBRANDSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056713

License Status

EXPIRED

Business

Title

First Name

ERIK

Middle

PAUL

Last Name

GULBRANDSEN

Business Name

ERIK PAUL GULBRANDSEN DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CARBONDALE

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012