JAMIE LYNN SWANSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LYNN

Last Name

SWANSON

Business Name

JAMIE LYNN SWANSON

Original Issue Date

01/12/2005

Effective Date

01/12/2005

Expiration Date

03/01/2006

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/26/2006