DAVID HOLT LANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129139

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

HOLT

Last Name

LANE

Business Name

DAVID HOLT LANE MD

Original Issue Date

10/24/2011

Effective Date

10/24/2011

Expiration Date

07/31/2014

City

EXCELSIOR

State

Zip

55331

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014