CHARLES B HOLMES MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****58

NOT RENEWED

N

CHARLES

B

HOLMES

MD

CHARLES B HOLMES MD

02/13/1992

02/13/1992

07/31/2002

CHICAGO

IL

60637

COOK

II III IV V

N

04/05/2020