CHARLES E SWANSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160864

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

Last Name

SWANSON

Business Name

CHARLES E SWANSON DO

Original Issue Date

06/14/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

04/06/2023