BIFTU MEKONNEN MENGESHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059137

License Status

EXPIRED

Business

Title

First Name

BIFTU

Middle

MEKONNEN

Last Name

MENGESHA

Business Name

BIFTU MEKONNEN MENGESHA MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/04/2015