DOUGLAS GERALD SWANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061427

License Status

NOT RENEWED

Business

First Name

DOUGLAS GERALD

Last Name

SWANSON

Suffix

Business Name

DOUGLAS GERALD SWANSON MD

Original Issue Date

12/19/1980

Effective Date

12/19/1980

Expiration Date

07/31/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006