MATT CHARLES ERICKSON - Physician Assistant License in Illinois | # 085004143

MATT CHARLES ERICKSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004143

License Status

NOT RENEWED

Business

N

First Name

MATT

Middle

CHARLES

Last Name

ERICKSON

Business Name

MATT CHARLES ERICKSON

Original Issue Date

09/20/2011

Effective Date

01/18/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014