AMANDA ERIN BRISTOL SWANSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055129

License Status

EXPIRED

Business

Title

First Name

AMANDA

Middle

ERIN

Last Name

BRISTOL SWANSON

Business Name

AMANDA ERIN BRISTOL SWANSON MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

07/19/2011