MARVIN LYNN SWANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

MARVIN

Middle

LYNN

Last Name

SWANSON

Business Name

MARVIN LYNN SWANSON MD

Original Issue Date

01/29/2015

Effective Date

01/29/2015

Expiration Date

07/31/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020