ASMAMAW KASSIE BEYENE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050169

License Status

EXPIRED

Business

First Name

ASMAMAW

Middle

KASSIE

Last Name

BEYENE

Suffix

Business Name

ASMAMAW KASSIE BEYENE MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008