DAVID JAMES HOLTZMANN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

DAVID JAMES

Last Name

HOLTZMANN

Suffix

DMD

Business Name

DAVID JAMES HOLTZMANN DMD

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

09/30/2000

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005