MICHAEL LAWRENCE SWACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034454

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

LAWRENCE

Last Name

SWACK

Suffix

Business Name

MICHAEL LAWRENCE SWACK MD

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006