CASEY JACOB HOLMES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134191

License Status

NOT RENEWED

Business

Title

First Name

CASEY

Middle

JACOB

Last Name

HOLMES

Business Name

CASEY JACOB HOLMES MD

Original Issue Date

11/18/2013

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021