ERICA L UPPSTROM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

ERICA L

Last Name

UPPSTROM

Suffix

Business Name

ERICA L UPPSTROM MD

Original Issue Date

03/17/1993

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023