NUBIA J SWAIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

NUBIA J

Last Name

SWAIN

Business Name

NUBIA J SWAIN

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

07/31/2005

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011