CARL E HOLT JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****55

NOT RENEWED

N

CARL

E

HOLT

JR MD

CARL E HOLT JR MD

08/03/1999

08/03/1999

07/31/2002

HARRISBURG

IL

62946

SALINE

II III IV V

N

04/05/2020