GARTH R SWANSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111785

License Status

NOT RENEWED

Business

First Name

GARTH

Middle

Last Name

SWANSON

Business Name

GARTH R SWANSON

Original Issue Date

07/07/2004

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023