JENECSIS CASTRO-SKOGLUND Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032087

License Status

EXPIRED

Business

First Name

JENECSIS

Last Name

CASTRO-SKOGLUND

Business Name

JENECSIS CASTRO-SKOGLUND

Original Issue Date

06/30/1994

Effective Date

06/30/1994

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006