MAHILET FEKADU ASSEFA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081034

License Status

ACTIVE

Business

Title

First Name

MAHILET

Middle

FEKADU

Last Name

ASSEFA

Business Name

MAHILET FEKADU ASSEFA MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/11/2025