TATEK KETEMA TAKELE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119404

License Status

ACTIVE

Business

Title

First Name

TATEK

Middle

KETEMA

Last Name

TAKELE

Business Name

TATEK KETEMA TAKELE MD

Original Issue Date

09/17/2007

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/05/2023