License holder summary

Michael Richard Holt is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Richard Holt is Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 03/31/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Richard Holt
Controlled Substance Registration - Physician
License number
01042309B
Date granted
03/31/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895615
LAST UPDATED 2024-04-05 12:49:09 UTC

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