ANITA MARIE HOLLOWAY MD - Medical Doctor License in Wisconsin | # 036112152

ANITA MARIE HOLLOWAY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112152

License Status

NOT RENEWED

Business

N

First Name

ANITA

Middle

MARIE

Last Name

HOLLOWAY

Suffix

MD

Business Name

ANITA MARIE HOLLOWAY MD

Original Issue Date

08/18/2004

Effective Date

06/11/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017