HOLLY MARIE SPANGGORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104708

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

MARIE

Last Name

SPANGGORD

Suffix

Business Name

HOLLY MARIE SPANGGORD MD

Original Issue Date

05/15/2001

Effective Date

05/15/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006