RICHARD THOMAS SWANSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102498

License Status

INACTIVE

Business

First Name

RICHARD

Middle

THOMAS

Last Name

SWANSON

Suffix

Business Name

RICHARD THOMAS SWANSON MD

Original Issue Date

05/17/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SOUTH HAVEN

State

Zip

49090

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/17/2008