BASIL SKLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035201

License Status

NOT RENEWED

Business

First Name

BASIL

Last Name

SKLAN

Suffix

Business Name

BASIL SKLAN MD

Original Issue Date

05/29/1958

Effective Date

05/29/1958

Expiration Date

07/31/1990

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

09/20/2006