JAN PAWEL SKOWRONSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

JAN

Middle

PAWEL

Last Name

SKOWRONSKI

Suffix

Business Name

JAN PAWEL SKOWRONSKI MD

Original Issue Date

09/17/2004

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021