CONNIE MARIE SWICKHAMER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049625

License Status

CANCELLED

Business

First Name

CONNIE

Middle

MARIE

Last Name

SWICKHAMER

Suffix

Business Name

CONNIE MARIE SWICKHAMER DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006