RUEMU EJEDAFETA BIRHIRAY - Medical Doctor License in Illinois | # 125028856

RUEMU EJEDAFETA BIRHIRAY

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028856

License Status

EXPIRED

Business

N

First Name

RUEMU

Middle

EJEDAFETA

Last Name

BIRHIRAY

Business Name

RUEMU EJEDAFETA BIRHIRAY

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

06/23/1995

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006