KELLY SUSAN SKOUMAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032620

License Status

EXPIRED

Business

First Name

KELLY SUSAN

Last Name

SKOUMAL

Business Name

KELLY SUSAN SKOUMAL

Original Issue Date

05/23/1995

Effective Date

05/23/1995

Expiration Date

06/20/1998

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006