DEBORAH GAIL SKANNAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

DEBORAH

Middle

GAIL

Last Name

SKANNAL

Business Name

DEBORAH GAIL SKANNAL MD

Original Issue Date

01/10/2012

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

NOVI

State

Zip

48374

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020