KASSANDRA ELIZABETH HOLZEM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064462

License Status

EXPIRED

Business

Title

First Name

KASSANDRA

Middle

ELIZABETH

Last Name

HOLZEM

Business Name

KASSANDRA ELIZABETH HOLZEM MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/25/2018