THOMAS W SNICKENBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

SNICKENBERGER

Suffix

Business Name

THOMAS W SNICKENBERGER MD

Original Issue Date

10/09/1981

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023