JONATHAN ERICSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Last Name

ERICSON

Business Name

JONATHAN ERICSON MD

Original Issue Date

06/06/2024

Effective Date

06/06/2024

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026