TIMOTHY WHITZEL SWAIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

WHITZEL

Last Name

SWAIN

Business Name

TIMOTHY WHITZEL SWAIN MD

Original Issue Date

03/13/2007

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023