DEGESEW ANDUALEM BEZZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055658

License Status

CANCELLED

Business

Title

First Name

DEGESEW

Middle

ANDUALEM

Last Name

BEZZA

Business Name

DEGESEW ANDUALEM BEZZA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/19/2009