SCOTT E SKORUPA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094352

License Status

NOT RENEWED

Business

First Name

SCOTT E

Last Name

SKORUPA

Business Name

SCOTT E SKORUPA

Original Issue Date

10/10/1996

Effective Date

10/10/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006