KEITH ANDREW SKOLNICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034576

License Status

EXPIRED

Business

First Name

KEITH ANDREW

Last Name

SKOLNICK

Business Name

KEITH ANDREW SKOLNICK

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/16/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006