JAMIE L SWANSON - Dentist License in Illinois | # 018000874

JAMIE L SWANSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000874

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005