RICHARD W SKUPSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078588

License Status

ACTIVE

Business

Title

First Name

RICHARD W

Last Name

SKUPSKI

Business Name

RICHARD W SKUPSKI MD

Original Issue Date

03/18/1989

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

GRANGER

State

Zip

46530

Ever Disciplined

LastModifiedDate

05/05/2023