AMY LAURA HOLMSTROM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068854

License Status

CANCELLED

Business

Title

First Name

AMY

Middle

LAURA

Last Name

HOLMSTROM

Business Name

AMY LAURA HOLMSTROM MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/27/2016