KYLE D HOLEN 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

KYLE

Middle

Last Name

HOLEN

Suffix

Business Name

KYLE D HOLEN MD

Original Issue Date

11/27/2002

Effective Date

08/04/2014

Expiration Date

07/31/2017

City

ABBOTT PARK

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017