AMANDA MARIE HOLLOWAY-VERRILL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064768

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

MARIE

Last Name

HOLLOWAY-VERRILL

Business Name

AMANDA MARIE HOLLOWAY-VERRILL MD

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/28/2014