JAY IVOR SWANSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000355

License Status

ACTIVE

Business

First Name

JAY

Middle

IVOR

Last Name

SWANSON

Suffix

DDS

Business Name

JAY IVOR SWANSON DDS

Original Issue Date

07/01/1994

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

06/13/2024