DANEILLE SIMONE SWOFFORD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069374

License Status

CANCELLED

Business

Title

First Name

DANEILLE

Middle

SIMONE

Last Name

SWOFFORD

Business Name

DANEILLE SIMONE SWOFFORD DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/13/2016