MONTE L SKAUFLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

MONTE

Middle

Last Name

SKAUFLE

Business Name

MONTE L SKAUFLE MD

Original Issue Date

03/06/2003

Effective Date

03/06/2003

Expiration Date

07/31/2005

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006