JENNIFER MARIE SKALA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

SKALA

Business Name

JENNIFER MARIE SKALA

Original Issue Date

09/02/2015

Effective Date

02/12/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022