HOLLY MAE MAES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113601

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

MAE

Last Name

MAES

Suffix

Business Name

HOLLY MAE MAES MD

Original Issue Date

04/29/2005

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

11/30/2023