KENT ALAN HOLTORF Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124501

License Status

INACTIVE

Business

First Name

KENT

Middle

ALAN

Last Name

HOLTORF

Business Name

KENT ALAN HOLTORF

Original Issue Date

10/15/2009

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

REDONDO BEACH

State

Zip

90277

Ever Disciplined

LastModifiedDate

04/08/2014