JUDY K HOLLAND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000413

License Status

NOT RENEWED

Business

First Name

JUDY K

Last Name

HOLLAND

Business Name

JUDY K HOLLAND

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

03/01/1994

City

FORT SHERIDAN

State

Zip

60037

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006