ERIK D SANDSTROM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

Last Name

SANDSTROM

Business Name

ERIK D SANDSTROM

Original Issue Date

09/15/1998

Effective Date

09/15/1998

Expiration Date

07/31/1999

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006