NATHANIEL BLAKE SWAAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028814

License Status

ACTIVE

Business

First Name

NATHANIEL

Middle

BLAKE

Last Name

SWAAR

Suffix

DMD

Business Name

NATHANIEL BLAKE SWAAR DMD

Original Issue Date

08/01/2011

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2024