ANITA MARIE HOLLOWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

MARIE

Last Name

HOLLOWAY

Suffix

Business Name

ANITA MARIE HOLLOWAY MD

Original Issue Date

12/22/2005

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017