AMY LAURA HOLMSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

AMY

Middle

LAURA

Last Name

HOLMSTROM

Business Name

AMY LAURA HOLMSTROM MD

Original Issue Date

05/13/2019

Effective Date

05/13/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021