AMY C HOLLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098709

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

HOLLEN

Suffix

Business Name

AMY C HOLLEN MD

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

07/31/1999

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006