VALERIE LOLA SWAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

Title

DDS

First Name

VALERIE

Middle

LOLA

Last Name

SWAN

Business Name

VALERIE LOLA SWAN DDS

Original Issue Date

09/30/2022

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024