CHARLES W HOLLEY JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018514

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

HOLLEY JR

Business Name

CHARLES W HOLLEY JR

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

03/29/2016