SANDRA F SWAIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

SWAIN

Business Name

SANDRA F SWAIN

Original Issue Date

01/24/1990

Effective Date

07/30/2020

Expiration Date

07/31/2023

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023