RUBY ALICE SKINNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

RUBY

Middle

ALICE

Last Name

SKINNER

Suffix

Business Name

RUBY ALICE SKINNER MD

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008