CHARLES BIRCH HOLLMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

CHARLES BIRCH

Last Name

HOLLMAN

Suffix

Business Name

CHARLES BIRCH HOLLMAN MD

Original Issue Date

03/31/1993

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020