ENDALE T MEKONEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026060

License Status

EXPIRED

Business

First Name

ENDALE T

Last Name

MEKONEN

Suffix

Business Name

ENDALE T MEKONEN MD

Original Issue Date

10/25/1990

Effective Date

10/25/1990

Expiration Date

10/16/1993

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006