TIMOTHY JAMES SWINDOLL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000996

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

JAMES

Last Name

SWINDOLL

Business Name

TIMOTHY JAMES SWINDOLL DO

Original Issue Date

06/03/2014

Effective Date

06/03/2014

Expiration Date

07/02/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

03/13/2015