JAY IVOR SWANSON DDS - Dentist License in Illinois | # 137000303

JAY IVOR SWANSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000303

License Status

NOT RENEWED

Business

N

First Name

JAY

Middle

IVOR

Last Name

SWANSON

Suffix

DDS

Business Name

JAY IVOR SWANSON DDS

Original Issue Date

11/26/1991

Effective Date

11/26/1991

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

11/08/2006