JONATHAN G ERICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

CANCELLED

Business

First Name

JONATHAN G

Last Name

ERICH

Suffix

Business Name

JONATHAN G ERICH MD

Original Issue Date

07/07/1987

Effective Date

07/07/1987

Expiration Date

07/31/2005

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006