ASEFA J MEKONNEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096314

License Status

NOT RENEWED

Business

First Name

ASEFA

Middle

Last Name

MEKONNEN

Suffix

Business Name

ASEFA J MEKONNEN MD

Original Issue Date

08/05/1997

Effective Date

08/05/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006