ANDREW A HOLLATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135276

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

Last Name

HOLLATZ

Business Name

ANDREW A HOLLATZ MD

Original Issue Date

05/07/2014

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017