SUSAN KIM HOLLAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

KIM

Last Name

HOLLAND

Business Name

SUSAN KIM HOLLAND MD

Original Issue Date

01/25/2019

Effective Date

01/25/2019

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021