KEITH A SWARTZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

SWARTZ

Business Name

KEITH A SWARTZ

Original Issue Date

05/06/2009

Effective Date

05/06/2009

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011