LARRY W HOLDER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076848

License Status

INACTIVE

Business

First Name

LARRY W

Last Name

HOLDER

Suffix

Business Name

LARRY W HOLDER MD

Original Issue Date

03/26/1988

Effective Date

06/10/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

04/12/2017