ARIEL ELANA SKALKA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

INOPERATIVE

Business

First Name

ARIEL

Middle

ELANA

Last Name

SKALKA

Business Name

ARIEL ELANA SKALKA

Original Issue Date

05/14/2018

Effective Date

05/14/2018

Expiration Date

03/01/2020

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019