GARTH R SWANSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

GARTH

Middle

Last Name

SWANSON

Business Name

GARTH R SWANSON

Original Issue Date

08/06/2004

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023