Medical Doctor
LICENSED PHYSICIAN CONTROLLED SUBSTANCE
33*****10
NOT RENEWED
N
DO
HAILEMARIAM
MEKITE
WOLDE
HAILEMARIAM MEKITE WOLDE DO
02/21/2017
05/10/2017
09/30/2020
OTTAWA
IL
61350
LA SALLE
PRACTITIONER
II III IV V
01/14/2021