ELIZA APPLE BENNETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161854

License Status

ACTIVE

Business

Title

First Name

ELIZA

Middle

APPLE

Last Name

BENNETT

Business Name

ELIZA APPLE BENNETT MD

Original Issue Date

08/08/2022

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53711

Ever Disciplined

LastModifiedDate

05/02/2023