CHARLES ANTHONY SKIBA JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115265

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ANTHONY

Last Name

SKIBA

Suffix

Business Name

CHARLES ANTHONY SKIBA JR

Original Issue Date

02/21/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BEVERLY HILLS

State

Zip

90211

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008