THOMAS AUSTIN HOLLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

THOMAS

Middle

AUSTIN

Last Name

HOLLY

Suffix

Business Name

THOMAS AUSTIN HOLLY MD

Original Issue Date

07/22/1996

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023