ERIC E ERICKSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

ERIC E

Last Name

ERICKSON

Business Name

ERIC E ERICKSON

Original Issue Date

05/02/1995

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023