JOHN DOUGLAS SNOWDEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001034

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

DOUGLAS

Last Name

SNOWDEN

Business Name

JOHN DOUGLAS SNOWDEN

Original Issue Date

03/11/1998

Effective Date

02/18/2022

Expiration Date

03/01/2024

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

02/05/2025