MARK S HOLDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070991

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

HOLDER

Suffix

Business Name

MARK S HOLDER MD

Original Issue Date

06/24/1985

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

PRINCEVILLE

State

Zip

61559

County

STARK

Ever Disciplined

LastModifiedDate

11/01/2017