MICHAEL N ERIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

MICHAEL N

Last Name

ERIE

Suffix

Business Name

MICHAEL N ERIE MD

Original Issue Date

07/24/1984

Effective Date

07/24/1984

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011