KENNETH A SWANSON DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207905

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

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

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012