ABEBE DESSIE KASSAHUN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048658

License Status

CANCELLED

Business

First Name

ABEBE

Middle

DESSIE

Last Name

KASSAHUN

Suffix

Business Name

ABEBE DESSIE KASSAHUN MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006