NATHANIEL BLAKE SWAAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

NATHANIEL

Middle

BLAKE

Last Name

SWAAR

Suffix

DMD

Business Name

NATHANIEL BLAKE SWAAR DMD

Original Issue Date

08/01/2011

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024