BRIAN PAUL HOLLETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067292

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

PAUL

Last Name

HOLLETT

Business Name

BRIAN PAUL HOLLETT MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018