ELIZABETH MARY HOLPER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

MARY

Last Name

HOLPER

Business Name

ELIZABETH MARY HOLPER MD

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011