DANIEL JACK SKLANSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125893

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

JACK

Last Name

SKLANSKY

Business Name

DANIEL JACK SKLANSKY MD

Original Issue Date

06/01/2010

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014