NIGIST ABENA TADDESE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067651

License Status

EXPIRED

Business

Title

First Name

NIGIST

Middle

ABENA

Last Name

TADDESE

Business Name

NIGIST ABENA TADDESE MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018