CLIFFORD JOHN SWANSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

CLIFFORD JOHN

Last Name

SWANSON

Business Name

CLIFFORD JOHN SWANSON

Original Issue Date

09/17/1982

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022