ANITA MARIE HOLLOWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112152

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

MARIE

Last Name

HOLLOWAY

Suffix

Business Name

ANITA MARIE HOLLOWAY MD

Original Issue Date

08/18/2004

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

MILWAUKEE

State

Zip

53204

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017