QUENBY LEA ERICKSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

QUENBY

Middle

LEA

Last Name

ERICKSON

Suffix

Business Name

QUENBY LEA ERICKSON DO

Original Issue Date

01/10/2006

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023