MICHAEL HAVEN SKINNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

MICHAEL HAVEN

Last Name

SKINNER

Business Name

MICHAEL HAVEN SKINNER

Original Issue Date

05/15/1985

Effective Date

05/15/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006