The holder whose full name is SWANSON, RICHARD THOMAS,come from Crystal Lake IL,hold the Physician license(NO.01028335A) which status is Expired Non-Renewable.
| Name | SWANSON, RICHARD THOMAS |
|---|---|
| License Number | 01028335A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Crystal Lake |
| State | IL |