JILL DAWN HOLTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

NOT RENEWED

Business

First Name

JILL

Middle

DAWN

Last Name

HOLTER

Business Name

JILL DAWN HOLTER

Original Issue Date

04/10/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

02/10/2011