JOHN DOUGLAS SNOWDEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

DOUGLAS

Last Name

SNOWDEN

Business Name

JOHN DOUGLAS SNOWDEN

Original Issue Date

06/13/2001

Effective Date

02/22/2022

Expiration Date

03/01/2024

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025