DEREJE LEGESSE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042057

License Status

EXPIRED

Business

First Name

DEREJE

Last Name

LEGESSE

Business Name

DEREJE LEGESSE

Original Issue Date

07/17/2000

Effective Date

07/17/2000

Expiration Date

07/16/2003

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006