ROGER WILLIAM SKEBELSKY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

WILLIAM

Last Name

SKEBELSKY

Business Name

ROGER WILLIAM SKEBELSKY

Original Issue Date

03/20/2001

Effective Date

03/20/2001

Expiration Date

03/01/2008

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008