HOLLY MARIE LOUD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

HOLLY

Middle

MARIE

Last Name

LOUD

Suffix

Business Name

HOLLY MARIE LOUD DO

Original Issue Date

01/06/2011

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023