STEPHEN THOMAS SKOLY JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

STEPHEN THOMAS

Last Name

SKOLY JR

Business Name

STEPHEN THOMAS SKOLY JR

Original Issue Date

11/08/1984

Effective Date

11/08/1984

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005