SWANN TIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

SWANN

Last Name

TIN

Business Name

SWANN TIN MD

Original Issue Date

04/03/2025

Effective Date

04/03/2025

Expiration Date

07/31/2026

City

ASTORIA

State

Zip

11102

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/03/2025