KIM DIANE HOLTMEIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112555

License Status

NOT RENEWED

Business

First Name

KIM

Middle

DIANE

Last Name

HOLTMEIER

Suffix

Business Name

KIM DIANE HOLTMEIER MD

Original Issue Date

10/20/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

11/06/2008