MATTHEW T SKALLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025338

License Status

EXPIRED

Business

First Name

MATTHEW T

Last Name

SKALLA

Suffix

Business Name

MATTHEW T SKALLA MD

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

06/19/1995

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006