RYAN A SKRUPKY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

SKRUPKY

Business Name

RYAN A SKRUPKY

Original Issue Date

08/20/2002

Effective Date

08/20/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011