CONSTANCE AGNES PIETRZAK SWANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

AGNES

Last Name

PIETRZAK SWANSON

Suffix

Business Name

CONSTANCE AGNES PIETRZAK SWANSON MD

Original Issue Date

06/22/2010

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020