JASON SAMUEL SCHNEIDKRAUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

SAMUEL

Last Name

SCHNEIDKRAUT

Business Name

JASON SAMUEL SCHNEIDKRAUT MD

Original Issue Date

10/17/2019

Effective Date

10/17/2019

Expiration Date

09/30/2020

City

BOONTON TOWNSHIP

State

Zip

07005

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021