GIRMA ASSEFA - Medical Doctor License in Illinois | # 125030380

GIRMA ASSEFA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030380

License Status

EXPIRED

Business

N

First Name

GIRMA

Last Name

ASSEFA

Business Name

GIRMA ASSEFA

Original Issue Date

06/16/1993

Effective Date

06/16/1993

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/12/2006