JAMES SKOUMAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

JAMES

Last Name

SKOUMAL

Business Name

JAMES SKOUMAL

Original Issue Date

04/04/2019

Effective Date

04/04/2019

Expiration Date

01/31/2022

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022