JOHN M HOLTAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068747

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

HOLTAN

Business Name

JOHN M HOLTAN MD

Original Issue Date

06/01/1984

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021