ERIK PARNELL SKULBORSTAD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056951

License Status

EXPIRED

Business

First Name

ERIK

Middle

PARNELL

Last Name

SKULBORSTAD

Suffix

Business Name

ERIK PARNELL SKULBORSTAD MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/13/2015