KENNETH A SWANSON DO - Pharmacist License in Illinois | # 049207905

KENNETH A SWANSON DO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207905

License Status

NOT RENEWED

Business

N

Title

DO

First Name

KENNETH

Middle

A

Last Name

SWANSON

Business Name

KENNETH A SWANSON DO

Original Issue Date

11/18/2011

Effective Date

11/18/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012