ERNEST C ERICKSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205286

License Status

CANCELLED

Business

First Name

ERNEST C

Last Name

ERICKSON

Business Name

ERNEST C ERICKSON

Original Issue Date

01/30/1975

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005