JASON MARCUS ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MARCUS

Last Name

ERICKSON

Suffix

Business Name

JASON MARCUS ERICKSON MD

Original Issue Date

07/30/2001

Effective Date

07/30/2001

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006