ERICH NATHANIEL SLOCUM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

ERICH

Middle

NATHANIEL

Last Name

SLOCUM

Business Name

ERICH NATHANIEL SLOCUM DO

Original Issue Date

09/20/2012

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023