KRISTIN ANN SKORACZEWSKI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

ANN

Last Name

SKORACZEWSKI

Business Name

KRISTIN ANN SKORACZEWSKI

Original Issue Date

12/02/2019

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

GURNEE

State

Zip

60031

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2026