TRINA JO HOLLATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

TRINA

Middle

Last Name

HOLLATZ

Business Name

TRINA JO HOLLATZ MD

Original Issue Date

12/05/2012

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017