PAULETTE G HOLLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

PAULETTE

Middle

Last Name

HOLLEY

Suffix

Business Name

PAULETTE G HOLLEY MD

Original Issue Date

05/23/2002

Effective Date

05/23/2002

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017