DEGESEW ANDUALEM BEZZA MD - Medical Doctor License in Illinois | # 125055658

DEGESEW ANDUALEM BEZZA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055658

License Status

CANCELLED

Business

N

Title

MD

First Name

DEGESEW

Middle

ANDUALEM

Last Name

BEZZA

Business Name

DEGESEW ANDUALEM BEZZA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/19/2009