CONNIE MARIE SWICKHAMER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

MARIE

Last Name

SWICKHAMER

Suffix

Business Name

CONNIE MARIE SWICKHAMER DO

Original Issue Date

12/18/2007

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020