AMY EVA SWIFT-JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

AMY

Middle

EVA

Last Name

SWIFT-JOHNSON

Suffix

Business Name

AMY EVA SWIFT-JOHNSON MD

Original Issue Date

01/07/2009

Effective Date

05/29/2014

Expiration Date

07/31/2017

City

UNION GROVE

State

Zip

53182

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020