GARY EDWARD SWANSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

GARY EDWARD

Last Name

SWANSON

Suffix

DDS

Business Name

GARY EDWARD SWANSON DDS

Original Issue Date

08/12/1981

Effective Date

08/12/1981

Expiration Date

09/30/1984

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005