TESFAYE SOLOMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047118

License Status

NOT RENEWED

Business

First Name

TESFAYE

Last Name

SOLOMON

Suffix

Business Name

TESFAYE SOLOMON MD

Original Issue Date

10/07/2003

Effective Date

10/07/2003

Expiration Date

10/06/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2006