DANEILLE SIMONE SWOFFORD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149583

License Status

NOT RENEWED

Business

Title

First Name

DANEILLE

Middle

SIMONE

Last Name

SWOFFORD

Business Name

DANEILLE SIMONE SWOFFORD DO

Original Issue Date

06/07/2019

Effective Date

06/07/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021