YOLANDA HOLLER-MANAGAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

Title

First Name

YOLANDA

Last Name

HOLLER-MANAGAN

Business Name

YOLANDA HOLLER-MANAGAN MD

Original Issue Date

01/10/2003

Effective Date

01/10/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020