DONALD H HOLDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043725

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

Last Name

HOLDER

Business Name

DONALD H HOLDER MD

Original Issue Date

09/24/1970

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014