DAVID L ERICSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

DAVID L

Last Name

ERICSON

Business Name

DAVID L ERICSON

Original Issue Date

01/10/2007

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2023