ANDREW A HOLLATZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000814

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

Last Name

HOLLATZ

Business Name

ANDREW A HOLLATZ MD

Original Issue Date

02/08/2010

Effective Date

02/08/2010

Expiration Date

08/07/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/13/2010