MICHAEL STANLEY SKULSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

STANLEY

Last Name

SKULSKI

Business Name

MICHAEL STANLEY SKULSKI MD

Original Issue Date

11/13/2020

Effective Date

11/13/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023