TRAVIS A HOLT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

TRAVIS

Middle

Last Name

HOLT

Business Name

TRAVIS A HOLT

Original Issue Date

09/02/2008

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61705

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023