IVAN T SNOWDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

IVAN T

Last Name

SNOWDEN

Suffix

Business Name

IVAN T SNOWDEN MD

Original Issue Date

01/16/1990

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

COLES

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021