EYOB HAILU TESSEMA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105081

License Status

INACTIVE

Business

First Name

EYOB

Middle

HAILU

Last Name

TESSEMA

Suffix

Business Name

EYOB HAILU TESSEMA MD

Original Issue Date

06/28/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DOTHAN

State

Zip

36303

County

ALABAMA

Ever Disciplined

LastModifiedDate

04/07/2011