TESFU LISANEWORK HAILU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151973

License Status

ACTIVE

Business

Title

First Name

TESFU

Middle

LISANEWORK

Last Name

HAILU

Business Name

TESFU LISANEWORK HAILU MD

Original Issue Date

02/27/2020

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2024