MARK JOSEPH HOLTERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

MARK JOSEPH

Last Name

HOLTERMAN

Suffix

Business Name

MARK JOSEPH HOLTERMAN MD

Original Issue Date

05/28/2015

Effective Date

05/28/2015

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020