ADAM P SCHNUPP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002043

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

SCHNUPP

Business Name

ADAM P SCHNUPP

Original Issue Date

08/06/2003

Effective Date

08/06/2003

Expiration Date

03/01/2006

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006