NIGIST ABENA TADDESE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144292

License Status

ACTIVE

Business

Title

First Name

NIGIST

Middle

ABENA

Last Name

TADDESE

Business Name

NIGIST ABENA TADDESE MD

Original Issue Date

09/08/2017

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023