Andriena Fay Erickson Od
InactiveIllinois license 34*****34
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 34*****34
- Status
- Inactive (Cancelled)
- First issued
- July 19, 2002
- Expired
- March 31, 2004
- License holder
- Andriena Fay Erickson Od
- Entity type
- Individual
Classifications
- Optometrist Controlled Substance (Optometry) Vision & Hearing
More from the license record
- Specialty
- Practitioner
- Controlled substance schedules
- IV
- Current term began
- 04/13/2004
Other Illinois licenses under this name
-
IL
InactiveDayton, OHExpired Mar 31, 2004
Contact
Chicago, IL 60616
Cook County