LAURA W ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

LAURA W

Last Name

ERICKSON

Suffix

Business Name

LAURA W ERICKSON MD

Original Issue Date

11/28/1984

Effective Date

11/28/1984

Expiration Date

07/31/1987

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006