KEVIN D HOLLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001046

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

Last Name

HOLLIS

Business Name

KEVIN D HOLLIS MD

Original Issue Date

05/04/2015

Effective Date

05/04/2015

Expiration Date

05/31/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/07/2016