DAVID M SKILLRUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

SKILLRUD

Suffix

Business Name

DAVID M SKILLRUD MD

Original Issue Date

12/21/2004

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020