NATHAN PAUL HOLT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

PAUL

Last Name

HOLT

Suffix

Business Name

NATHAN PAUL HOLT MD

Original Issue Date

10/01/2008

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020