ELOF ERIKSSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

ELOF

Last Name

ERIKSSON

Suffix

Business Name

ELOF ERIKSSON MD

Original Issue Date

08/23/1982

Effective Date

08/23/1982

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006