LARRY J HOLLAND Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000209

License Status

EXPIRED

Business

First Name

LARRY

Middle

Last Name

HOLLAND

Business Name

LARRY J HOLLAND

Original Issue Date

04/22/1993

Effective Date

04/22/1993

Expiration Date

12/01/1993

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006