AVI ELIZABETH DOMNITZ GEBET DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137100

License Status

NOT RENEWED

Business

Title

First Name

AVI

Middle

ELIZABETH

Last Name

DOMNITZ GEBET

Business Name

AVI ELIZABETH DOMNITZ GEBET DO

Original Issue Date

01/16/2015

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021