HOLLY ELIZABETH VANNITAMBY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150954

License Status

ACTIVE

Business

Title

First Name

HOLLY

Middle

ELIZABETH

Last Name

VANNITAMBY

Business Name

HOLLY ELIZABETH VANNITAMBY DO

Original Issue Date

10/07/2019

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/22/2023