ANITA GREWAL HOLTZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051595

License Status

CANCELLED

Business

Title

First Name

ANITA

Middle

GREWAL

Last Name

HOLTZ

Business Name

ANITA GREWAL HOLTZ MD

Original Issue Date

07/17/2007

Effective Date

07/17/2007

Expiration Date

07/16/2009

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/17/2007