DAVID GLENN HOLLIFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

DAVID GLENN

Last Name

HOLLIFIELD

Suffix

Business Name

DAVID GLENN HOLLIFIELD MD

Original Issue Date

03/08/1995

Effective Date

03/08/1995

Expiration Date

07/31/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006