RICHARD M HOLLOWAY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084147

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

HOLLOWAY

Business Name

RICHARD M HOLLOWAY

Original Issue Date

03/24/1992

Effective Date

09/21/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023