CHARLES BIRCH HOLLMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

CHARLES BIRCH

Last Name

HOLLMAN

Suffix

Business Name

CHARLES BIRCH HOLLMAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020