SAVANNA SNOW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

SAVANNA

Last Name

SNOW

Business Name

SAVANNA SNOW

Original Issue Date

12/04/2024

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/19/2026