NATHANIEL BLAKE SWAAR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

BLAKE

Last Name

SWAAR

Suffix

DMD

Business Name

NATHANIEL BLAKE SWAAR DMD

Original Issue Date

11/21/2014

Effective Date

12/22/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025