GIRMA ASSEFA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030380

License Status

EXPIRED

Business

First Name

GIRMA

Last Name

ASSEFA

Business Name

GIRMA ASSEFA

Original Issue Date

06/16/1993

Effective Date

06/16/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/12/2006