KELLY A HOLTKAMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HOLTKAMP

Suffix

Business Name

KELLY A HOLTKAMP MD

Original Issue Date

05/06/2002

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021