MYINT SWAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027493

License Status

EXPIRED

Business

First Name

MYINT

Last Name

SWAN

Business Name

MYINT SWAN

Original Issue Date

08/09/1991

Effective Date

08/09/1991

Expiration Date

08/08/1994

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006