HOLLY M HOLMES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

HOLMES

Business Name

HOLLY M HOLMES

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/06/2008