GIRMA B ASSEFA MD - Medical Doctor License in Illinois | # 125021743

GIRMA B ASSEFA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021743

License Status

EXPIRED

Business

N

First Name

GIRMA B

Last Name

ASSEFA

Suffix

MD

Business Name

GIRMA B ASSEFA MD

Original Issue Date

09/29/1987

Effective Date

09/29/1987

Expiration Date

09/28/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006