MICHAEL PATRICK HOLLANDSWORTH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

PATRICK

Last Name

HOLLANDSWORTH

Business Name

MICHAEL PATRICK HOLLANDSWORTH DO

Original Issue Date

03/24/2015

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021