LODE JAN L M SWINNEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

LODE JAN L M

Last Name

SWINNEN

Suffix

Business Name

LODE JAN L M SWINNEN MD

Original Issue Date

03/11/1981

Effective Date

03/11/1981

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020