G JON SKULASON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046349

License Status

INACTIVE

Business

First Name

G JON

Last Name

SKULASON

Suffix

Business Name

G JON SKULASON MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/1987

City

MILWAUKEE

State

Zip

53210

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006