MARILYN SNOOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003110

License Status

NOT RENEWED

Business

First Name

MARILYN

Last Name

SNOOK

Business Name

MARILYN SNOOK

Original Issue Date

10/17/2007

Effective Date

02/21/2012

Expiration Date

03/01/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2014