CARL AARON SWAFFORD JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

CARL

Middle

AARON

Last Name

SWAFFORD JR

Suffix

Business Name

CARL AARON SWAFFORD JR MD

Original Issue Date

02/22/2007

Effective Date

02/22/2007

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008