PHILIP WAYNE HOLLOWAY Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

PHILIP WAYNE

Last Name

HOLLOWAY

Business Name

PHILIP WAYNE HOLLOWAY

Original Issue Date

08/25/1982

Effective Date

01/27/2023

Expiration Date

01/31/2025

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026