GASHAW TEDLA TAFARI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024144

License Status

EXPIRED

Business

First Name

GASHAW TEDLA

Last Name

TAFARI

Business Name

GASHAW TEDLA TAFARI

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006