MARK JOSEPH HOLTERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

MARK JOSEPH

Last Name

HOLTERMAN

Suffix

Business Name

MARK JOSEPH HOLTERMAN MD

Original Issue Date

06/16/1997

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021