BRUCE JEFFREY SKOLNIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

BRUCE JEFFREY

Last Name

SKOLNIK

Suffix

Business Name

BRUCE JEFFREY SKOLNIK MD

Original Issue Date

06/15/1994

Effective Date

06/15/1994

Expiration Date

07/31/1999

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006