JAROD DWAYNE SKOUBY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

JAROD

Middle

DWAYNE

Last Name

SKOUBY

Business Name

JAROD DWAYNE SKOUBY MD

Original Issue Date

03/22/2013

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023