BRIAN ALLAN ERICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

ALLAN

Last Name

ERICKSON

Business Name

BRIAN ALLAN ERICKSON MD

Original Issue Date

11/15/2005

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023