SCOTT E SKORUPA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030971

License Status

EXPIRED

Business

First Name

SCOTT E

Last Name

SKORUPA

Business Name

SCOTT E SKORUPA

Original Issue Date

05/04/1994

Effective Date

05/04/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006