JACOB PETER HOLTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152725

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

PETER

Last Name

HOLTON

Business Name

JACOB PETER HOLTON MD

Original Issue Date

04/27/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

04/07/2023