MARLEE M HOLLERAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

MARLEE

Middle

Last Name

HOLLERAN

Business Name

MARLEE M HOLLERAN

Original Issue Date

10/25/2023

Effective Date

02/13/2024

Expiration Date

03/01/2026

City

CRESTWOOD

State

Zip

60418

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025