JOHN A SWANSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039064

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

SWANSON

Business Name

JOHN A SWANSON

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006