TRAVIS A HOLT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046054

License Status

EXPIRED

Business

First Name

TRAVIS

Middle

Last Name

HOLT

Business Name

TRAVIS A HOLT

Original Issue Date

08/01/2006

Effective Date

08/01/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/31/2008