JAMES DAVID HOLMES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055596

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

DAVID

Last Name

HOLMES

Business Name

JAMES DAVID HOLMES MD

Original Issue Date

01/13/2009

Effective Date

01/13/2009

Expiration Date

01/12/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/13/2009