ANDREA LYNN SKINNER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049374

License Status

CANCELLED

Business

First Name

ANDREA

Middle

LYNN

Last Name

SKINNER

Suffix

Business Name

ANDREA LYNN SKINNER DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006