KERMIT CHARLES ERICSSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039234

License Status

NOT RENEWED

Business

First Name

KERMIT CHARLES

Last Name

ERICSSON

Suffix

Business Name

KERMIT CHARLES ERICSSON MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

City

CAMBRIDGE

State

Zip

55008

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006