DALLAS RENAE HOLLADAY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063250

License Status

CANCELLED

Business

Title

First Name

DALLAS

Middle

RENAE

Last Name

HOLLADAY

Business Name

DALLAS RENAE HOLLADAY DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014