STEPHEN MICHAEL HOLLAND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062758

License Status

CANCELLED

Business

First Name

STEPHEN

Middle

MICHAEL

Last Name

HOLLAND

Suffix

Business Name

STEPHEN MICHAEL HOLLAND MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

SPRINGFIELD

State

Zip

62703

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

05/05/2016