HOLLY CARNELL PEREZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077837

License Status

CANCELLED

Business

Title

First Name

HOLLY

Middle

CARNELL

Last Name

PEREZ

Business Name

HOLLY CARNELL PEREZ MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/27/2021