HOLLY ERIN DALLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136967

License Status

ACTIVE

Business

Title

First Name

HOLLY

Middle

ERIN

Last Name

DALLAS

Business Name

HOLLY ERIN DALLAS MD

Original Issue Date

12/24/2014

Effective Date

08/23/2024

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/01/2025