KRISTIN A HOLM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084890

License Status

NOT RENEWED

Business

First Name

KRISTIN A

Last Name

HOLM

Suffix

Business Name

KRISTIN A HOLM MD

Original Issue Date

07/17/1992

Effective Date

07/17/1992

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006