KIDANU BIRHANU - Medical Doctor License in Illinois | # 125016883

KIDANU BIRHANU

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016883

License Status

EXPIRED

Business

N

First Name

KIDANU

Last Name

BIRHANU

Business Name

KIDANU BIRHANU

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006