MICHAEL DAVID HOLLETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

MICHAEL DAVID

Last Name

HOLLETT

Suffix

Business Name

MICHAEL DAVID HOLLETT MD

Original Issue Date

05/13/1996

Effective Date

05/13/1996

Expiration Date

07/31/1999

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006