TIMOTHY L SWAN MD 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

TIMOTHY L

Last Name

SWAN

Suffix

Business Name

TIMOTHY L SWAN MD

Original Issue Date

06/24/1991

Effective Date

06/24/1991

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017