STEPHANIE E SKELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

SKELLY

Suffix

Business Name

STEPHANIE E SKELLY MD

Original Issue Date

04/28/1997

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023