LAUREN ELLYSE HOLMGREN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065068

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

ELLYSE

Last Name

HOLMGREN

Business Name

LAUREN ELLYSE HOLMGREN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

ALVATON

State

Zip

42122

County

WARREN

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2017