RICHARD E ERICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

RICHARD E

Last Name

ERICKSON

Suffix

Business Name

RICHARD E ERICKSON MD

Original Issue Date

09/30/2004

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023