MIROSLAW S SKALSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

MIROSLAW S

Last Name

SKALSKI

Suffix

Business Name

MIROSLAW S SKALSKI MD

Original Issue Date

12/03/1992

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023