DONNA J HOLZUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074772

License Status

INACTIVE

Business

First Name

DONNA J

Last Name

HOLZUM

Suffix

Business Name

DONNA J HOLZUM MD

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

07/31/1990

City

ST ANN

State

Zip

63074

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006