ERIN COLLEEN ERICKSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

COLLEEN

Last Name

ERICKSON

Business Name

ERIN COLLEEN ERICKSON

Original Issue Date

01/02/2017

Effective Date

01/02/2017

Expiration Date

03/01/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/20/2018