BENJAMIN G SWARTOUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

SWARTOUT

Suffix

Business Name

BENJAMIN G SWARTOUT MD

Original Issue Date

05/03/2006

Effective Date

05/03/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008