ENGIDAWORK GASHAW TADELE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082769

License Status

ACTIVE

Business

Title

First Name

ENGIDAWORK

Middle

GASHAW

Last Name

TADELE

Business Name

ENGIDAWORK GASHAW TADELE MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/25/2023