PETRA RENATE SCHNEIDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

First Name

PETRA RENATE

Last Name

SCHNEIDER

Suffix

Business Name

PETRA RENATE SCHNEIDER MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006