MICHAEL STANLEY SKULSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154733

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

STANLEY

Last Name

SKULSKI

Business Name

MICHAEL STANLEY SKULSKI MD

Original Issue Date

11/12/2020

Effective Date

11/12/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023