STEPHEN H HOLT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042942

License Status

NOT RENEWED

Business

First Name

STEPHEN H

Last Name

HOLT

Suffix

Business Name

STEPHEN H HOLT MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006