KIRUBEL ABEBE HERANO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070187

License Status

CANCELLED

Business

Title

First Name

KIRUBEL

Middle

ABEBE

Last Name

HERANO

Business Name

KIRUBEL ABEBE HERANO MD

Original Issue Date

06/28/2017

Effective Date

06/28/2017

Expiration Date

06/27/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/08/2017