ADDIS ALEMU ASFAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

ADDIS

Middle

ALEMU

Last Name

ASFAW

Business Name

ADDIS ALEMU ASFAW MD

Original Issue Date

08/06/2012

Effective Date

03/01/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017