DAVID M KOLLHOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125679

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

KOLLHOFF

Suffix

Business Name

DAVID M KOLLHOFF MD

Original Issue Date

05/05/2010

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

FAIRFIELD

State

Zip

94534

Ever Disciplined

LastModifiedDate

11/17/2014