DAVID L ERICSON
Temporary Medical Permit
Illinois 125048063 Canceled
This Illinois license was held by DAVID L ERICSON. The license is no longer active. It was granted on 06/28/2004 and expired on 06/27/2007
LICENSE DETAILS
- License Number: 125048063
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 06/28/2004 (almost 20 years ago)
- Expiry Date: 06/27/2007 (almost 17 years ago)
LOCATIONS
A Address
Buffalo Grove, IL 60089