THEODORE SNYDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074258

License Status

CANCELLED

Business

Title

First Name

THEODORE

Last Name

SNYDER

Business Name

THEODORE SNYDER MD

Original Issue Date

06/21/2019

Effective Date

06/21/2019

Expiration Date

06/20/2022

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/23/2019