DEREVE KETEMA BELAYNEH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058002

License Status

EXPIRED

Business

Title

First Name

DEREVE

Middle

KETEMA

Last Name

BELAYNEH

Business Name

DEREVE KETEMA BELAYNEH MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013