ROBERT FRANKLIN HOLLOWAY JR Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042137

License Status

CANCELLED

Business

First Name

ROBERT

Middle

FRANKLIN

Last Name

HOLLOWAY

Suffix

Business Name

ROBERT FRANKLIN HOLLOWAY JR

Original Issue Date

08/16/2000

Effective Date

08/16/2000

Expiration Date

08/14/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006