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Licensing details for: PTL 13163

Name: Van Swol, Taska Leanne

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: University of New Mexico School of Medicine

Graduation Year: 2023

Previous Names: van Swol, Taska

Current Enrolled Postgraduate Training Program

Facility Name: HCA HEALTHCARE RIVERSIDE PROGRAM

City: Riverside

State: California

Speciality: Obstetrics and gynecology

Start Date: 07/01/2023

Anticipated End Date: 09/30/2024

Address of Record

4510 Brockton Ave
RIVERSIDE CA 92501-4015
RIVERSIDE county
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Issuance Date

December 5, 2023

Expiration Date

N/A

Current Date / Time

May 18, 2026
3:21:11 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Van Swol, Taska Leanne

License/Registration Type: Physician's and Surgeon's

License Number: 199089 Primary Status: License Renewed & Current

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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