RAVEN JEANINE HOLLAND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

RAVEN

Middle

JEANINE

Last Name

HOLLAND

Business Name

RAVEN JEANINE HOLLAND MD

Original Issue Date

09/11/2015

Effective Date

06/27/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2024