BETHLEHEM A HAILE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105561

License Status

NOT RENEWED

Business

First Name

BETHLEHEM

Middle

Last Name

HAILE

Business Name

BETHLEHEM A HAILE

Original Issue Date

09/12/2001

Effective Date

09/12/2001

Expiration Date

07/31/2005

City

SAN JOSE

State

Zip

95117

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006