MARIE DENISE SWANSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

MARIE DENISE

Last Name

SWANSON

Business Name

MARIE DENISE SWANSON

Original Issue Date

08/16/1983

Effective Date

08/16/1983

Expiration Date

09/30/1994

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005