DAVID M SKILLRUD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

DAVID M

Last Name

SKILLRUD

Suffix

Business Name

DAVID M SKILLRUD MD

Original Issue Date

07/05/1985

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023