PHILIPOS KIDANE GEBREMEDHIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072176

License Status

EXPIRED

Business

Title

First Name

PHILIPOS

Middle

KIDANE

Last Name

GEBREMEDHIN

Business Name

PHILIPOS KIDANE GEBREMEDHIN MD

Original Issue Date

06/27/2021

Effective Date

06/27/2021

Expiration Date

06/26/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/06/2024