ANDREA JEAN SWENSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052411

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

JEAN

Last Name

SWENSON

Business Name

ANDREA JEAN SWENSON MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neuromuscular Medicine

Ever Disciplined

LastModifiedDate

07/31/2008