License holder summary

Leif David Eriksen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Leif David Eriksen is ST ANTHONY MEDICAL CENTER EMERGENCY MED, 1201 SOUTH MAIN ST, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 04/26/1994 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Leif David Eriksen
Controlled Substance Registration - Physician
License number
01042065B
Date granted
04/26/1994
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MEDICAL CENTER EMERGENCY MED, 1201 SOUTH MAIN ST, CROWN POINT IN 46307
indianalicensing.org
ID 5841412
LAST UPDATED 2024-04-18 15:20:10 UTC

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