CARISSA J LEE HOLMES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042636

License Status

EXPIRED

Business

First Name

CARISSA

Middle

Last Name

LEE HOLMES

Business Name

CARISSA J LEE HOLMES

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006