BRIDGET MARIE SWANSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

MARIE

Last Name

SWANSON

Business Name

BRIDGET MARIE SWANSON

Original Issue Date

01/28/2005

Effective Date

01/28/2005

Expiration Date

03/01/2008

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

12/14/2007