HEATHER JO ERICKSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009179

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

ERICKSON

Suffix

Business Name

HEATHER JO ERICKSON OD

Original Issue Date

07/14/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005