KURT W ERICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

KURT W

Last Name

ERICKSON

Suffix

Business Name

KURT W ERICKSON MD

Original Issue Date

09/03/1986

Effective Date

05/10/2017

Expiration Date

09/30/2020

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021