AMANDA MARIE HOLLOWAY-VERRILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

MARIE

Last Name

HOLLOWAY-VERRILL

Business Name

AMANDA MARIE HOLLOWAY-VERRILL MD

Original Issue Date

04/06/2017

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023