DEGESEW ANDUALEM BEZZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130095

License Status

NOT RENEWED

Business

Title

First Name

DEGESEW

Middle

ANDUALEM

Last Name

BEZZA

Business Name

DEGESEW ANDUALEM BEZZA MD

Original Issue Date

04/16/2012

Effective Date

04/16/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014