AVELINA MONICA OXHOLM-DABABNEH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

AVELINA MONICA

Last Name

OXHOLM-DABABNEH

Suffix

Business Name

AVELINA MONICA OXHOLM-DABABNEH DO

Original Issue Date

01/17/1996

Effective Date

01/17/1996

Expiration Date

07/31/2008

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008