JOHN M HOLTAN MD Medical Doctor License verification

Business Entity

CLOSED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CLOSED

Business

Title

First Name

JOHN

Middle

Last Name

HOLTAN

Business Name

JOHN M HOLTAN MD

Original Issue Date

07/11/2008

Effective Date

07/11/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020