ARIEL ELANA SKALKA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006532

License Status

NOT RENEWED

Business

First Name

ARIEL

Middle

ELANA

Last Name

SKALKA

Business Name

ARIEL ELANA SKALKA

Original Issue Date

03/01/2018

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020