BERHANU GOSSAYE MELKA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053571

License Status

EXPIRED

Business

First Name

BERHANU

Middle

GOSSAYE

Last Name

MELKA

Suffix

Business Name

BERHANU GOSSAYE MELKA MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010