DAWN M HOLMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

HOLMAN

Suffix

Business Name

DAWN M HOLMAN MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

07/31/2008

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008