JAMIE L SWANSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000874

License Status

NOT RENEWED

Business

First Name

JAMIE L

Last Name

SWANSON

Business Name

JAMIE L SWANSON

Original Issue Date

08/02/1995

Effective Date

08/02/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005