RICHARD THOMAS SWANSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

CANCELLED

Business

First Name

RICHARD

Middle

THOMAS

Last Name

SWANSON

Suffix

Business Name

RICHARD THOMAS SWANSON MD

Original Issue Date

06/15/2000

Effective Date

06/15/2000

Expiration Date

07/31/2008

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008