TIMOTHY L SWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082674

License Status

NOT RENEWED

Business

First Name

TIMOTHY L

Last Name

SWAN

Suffix

Business Name

TIMOTHY L SWAN MD

Original Issue Date

06/21/1991

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017