GRANT SAMUEL HOLZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061867

License Status

EXPIRED

Business

First Name

GRANT

Middle

SAMUEL

Last Name

HOLZ

Suffix

Business Name

GRANT SAMUEL HOLZ MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

07/31/2013

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/07/2013