TIMOTHY L SWAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023836

License Status

EXPIRED

Business

First Name

TIMOTHY L

Last Name

SWAN

Suffix

Business Name

TIMOTHY L SWAN MD

Original Issue Date

05/17/1989

Effective Date

05/17/1989

Expiration Date

07/01/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006