HABTAMU PETROS HANDRO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043796

License Status

EXPIRED

Business

First Name

HABTAMU

Middle

PETROS

Last Name

HANDRO

Suffix

Business Name

HABTAMU PETROS HANDRO MD

Original Issue Date

09/21/2001

Effective Date

09/21/2001

Expiration Date

09/20/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006