STEFAN RYAN ERICKSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076191

License Status

EXPIRED

Business

First Name

STEFAN

Middle

RYAN

Last Name

ERICKSON

Business Name

STEFAN RYAN ERICKSON

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022