TED ALBERT SKOLARUS 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

Title

First Name

TED

Middle

ALBERT

Last Name

SKOLARUS

Business Name

TED ALBERT SKOLARUS MD

Original Issue Date

09/16/2022

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023