TRINA JO HOLLATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131811

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

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017