License holder summary

GUSTAF W ERICKSON, JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GUSTAF W ERICKSON, JR is MEMORIAL HOSPITAL, 615 NORTH MICHIGAN AVENUE, South Bend IN 46601. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

GUSTAF W ERICKSON, JR
Controlled Substance Registration - Physician
License number
01015894B
Date granted
06/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSPITAL, 615 NORTH MICHIGAN AVENUE, South Bend IN 46601
indianalicensing.org
ID 5921062
LAST UPDATED 2024-04-03 07:10:46 UTC

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