RODNEY O SWAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

RODNEY O

Last Name

SWAN

Business Name

RODNEY O SWAN

Original Issue Date

12/02/1987

Effective Date

12/02/1987

Expiration Date

07/31/1990

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020