CONSTANCE AGNES PIETRZAK SWANSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053383

License Status

EXPIRED

Business

First Name

CONSTANCE

Middle

AGNES

Last Name

PIETRZAK SWANSON

Suffix

Business Name

CONSTANCE AGNES PIETRZAK SWANSON MD

Original Issue Date

06/22/2007

Effective Date

06/22/2007

Expiration Date

06/21/2010

City

TALLAHASSEE

State

Zip

32311

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010