ROY NIELS SKOUSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

ROY

Middle

NIELS

Last Name

SKOUSEN

Business Name

ROY NIELS SKOUSEN DO

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

07/31/2026

City

STILLWATER

State

Zip

74074

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026