HARRISON J SWALLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009298

License Status

ACTIVE

Business

First Name

HARRISON

Middle

Last Name

SWALLA

Business Name

HARRISON J SWALLA

Original Issue Date

10/22/2022

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

01/05/2026