KURT W ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

KURT W

Last Name

ERICKSON

Suffix

Business Name

KURT W ERICKSON MD

Original Issue Date

09/15/2005

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020