BROCK ANDREW SWANSON Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005681

License Status

ACTIVE

Business

First Name

BROCK

Middle

ANDREW

Last Name

SWANSON

Business Name

BROCK ANDREW SWANSON

Original Issue Date

08/12/2015

Effective Date

02/16/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60607

County

ADAMS

Ever Disciplined

LastModifiedDate

02/26/2025

Case Number

2021008244

Action

Suspension

Discipline Start Date

12/13/2021

Discipline End Date

12/15/2021

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/16/2021.