KELLY A HOLTKAMP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

HOLTKAMP

Suffix

Business Name

KELLY A HOLTKAMP MD

Original Issue Date

06/27/2018

Effective Date

09/08/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2023