PHILIPOS KIDANE GEBREMEDHIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

PHILIPOS

Middle

KIDANE

Last Name

GEBREMEDHIN

Business Name

PHILIPOS KIDANE GEBREMEDHIN MD

Original Issue Date

05/12/2025

Effective Date

05/12/2025

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2025