KENNETH W HOLMES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

HOLMES

Suffix

Business Name

KENNETH W HOLMES MD

Original Issue Date

01/03/1993

Effective Date

01/03/1993

Expiration Date

07/31/1996

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020