ERICA L UPPSTROM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085630

License Status

ACTIVE

Business

First Name

ERICA L

Last Name

UPPSTROM

Suffix

Business Name

ERICA L UPPSTROM MD

Original Issue Date

11/16/1992

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

06/24/2023