BRENT R SNELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

BRENT R

Last Name

SNELL

Suffix

Business Name

BRENT R SNELL DO

Original Issue Date

12/24/1986

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61654

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014