KYLE DEAN SWANSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025