ERIK J CONSTANCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

ERIK J

Last Name

CONSTANCE

Suffix

Business Name

ERIK J CONSTANCE MD

Original Issue Date

05/24/1991

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023