JEFFREY S SKOLNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

JEFFREY S

Last Name

SKOLNICK

Suffix

Business Name

JEFFREY S SKOLNICK MD

Original Issue Date

12/18/1985

Effective Date

12/18/1985

Expiration Date

07/31/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006