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Licensing details for: A 199089

Name: Van Swol, Taska Leanne

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of New Mexico School of Medicine

Graduation Year: 2023

Previous Names: van Swol, Taska

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

September 16, 2024

Expiration Date

November 30, 2026

Current Date / Time

May 18, 2026
3:28:12 AM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Van Swol, Taska Leanne

License/Registration Type: Postgraduate Training License

License Number: 13163 Primary Status: License Canceled

Address :
4510 Brockton Ave
RIVERSIDE CA 92501-4015
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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