STANISLAW J SKALUBA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

STANISLAW

Middle

Last Name

SKALUBA

Business Name

STANISLAW J SKALUBA

Original Issue Date

02/22/2000

Effective Date

02/22/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020