PHILIP H SWANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

PHILIP H

Last Name

SWANSON

Suffix

Business Name

PHILIP H SWANSON MD

Original Issue Date

03/10/1982

Effective Date

03/10/1982

Expiration Date

09/01/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006