STEPHEN XAVIER SKAPEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

XAVIER

Last Name

SKAPEK

Suffix

Business Name

STEPHEN XAVIER SKAPEK MD

Original Issue Date

12/21/2007

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014