JONATHAN HOLT DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****97

ACTIVE

N

DO

JONATHAN

HOLT

JONATHAN HOLT DO

09/24/2022

05/13/2023

07/31/2026

HIGHLAND PARK

IL

60035

LAKE

PRACTITIONER

II III IV V

N

05/13/2023