JENECSIS CASTRO-SKOGLUND Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

JENECSIS

Last Name

CASTRO-SKOGLUND

Business Name

JENECSIS CASTRO-SKOGLUND

Original Issue Date

08/13/1996

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2023