DALLAS RENAE HOLLADAY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

DALLAS

Middle

RENAE

Last Name

HOLLADAY

Business Name

DALLAS RENAE HOLLADAY DO

Original Issue Date

12/16/2015

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2023