JILL DAWN HOLTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002945

License Status

NOT RENEWED

Business

First Name

JILL

Middle

DAWN

Last Name

HOLTER

Business Name

JILL DAWN HOLTER

Original Issue Date

02/09/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

04/01/2010