MARK JOHN SCHNEIDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

MARK JOHN

Last Name

SCHNEIDER

Suffix

Business Name

MARK JOHN SCHNEIDER MD

Original Issue Date

07/02/1986

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017