JAY IVOR SWANSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

JAY

Middle

IVOR

Last Name

SWANSON

Suffix

DDS

Business Name

JAY IVOR SWANSON DDS

Original Issue Date

02/07/1985

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2024