WOLDEGABRIEL A BAYNESAGN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130784

License Status

NOT RENEWED

Business

Title

First Name

WOLDEGABRIEL

Middle

Last Name

BAYNESAGN

Business Name

WOLDEGABRIEL A BAYNESAGN MD

Original Issue Date

07/09/2012

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021