RICHARD W SKUPSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

RICHARD W

Last Name

SKUPSKI

Business Name

RICHARD W SKUPSKI MD

Original Issue Date

06/06/1989

Effective Date

05/05/2023

Expiration Date

07/31/2026

State

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023