MEAZA M MENGISTU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106480

License Status

ACTIVE

Business

First Name

MEAZA

Middle

Last Name

MENGISTU

Suffix

Business Name

MEAZA M MENGISTU MD

Original Issue Date

03/12/2002

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2023