SIMON ANDREW HOLOUBEK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

SIMON

Middle

ANDREW

Last Name

HOLOUBEK

Business Name

SIMON ANDREW HOLOUBEK DO

Original Issue Date

08/20/2021

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023