KYLE DEAN SWANSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005777

License Status

ACTIVE

Business

Title

DPM

First Name

KYLE

Middle

DEAN

Last Name

SWANSON

Business Name

KYLE DEAN SWANSON DPM

Original Issue Date

12/20/2017

Effective Date

01/23/2025

Expiration Date

01/31/2027

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

02/26/2025