CARL E HOLT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

HOLT

Suffix

JR MD

Business Name

CARL E HOLT JR MD

Original Issue Date

08/01/2008

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

MT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021