SAMUEL SELASIE MORTOTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147337

License Status

ACTIVE

Business

Title

First Name

SAMUEL SELASIE

Last Name

MORTOTI

Business Name

SAMUEL SELASIE MORTOTI MD

Original Issue Date

08/24/2018

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/21/2023