CASEY JACOB HOLMES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059766

License Status

CANCELLED

Business

Title

First Name

CASEY

Middle

JACOB

Last Name

HOLMES

Business Name

CASEY JACOB HOLMES MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/05/2011