MATTHEW T SKALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088517

License Status

NOT RENEWED

Business

First Name

MATTHEW T

Last Name

SKALLA

Suffix

Business Name

MATTHEW T SKALLA MD

Original Issue Date

06/07/1994

Effective Date

06/07/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006