NATHANIEL ALEXANDER HOLT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033566

License Status

NOT RENEWED

Business

Title

DMD

First Name

NATHANIEL

Middle

ALEXANDER

Last Name

HOLT

Business Name

NATHANIEL ALEXANDER HOLT DMD

Original Issue Date

05/02/2022

Effective Date

05/02/2022

Expiration Date

09/30/2024

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

02/04/2025