EYOB HAILU TESSEMA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****29

NOT RENEWED

N

EYOB

HAILU

TESSEMA

MD

EYOB HAILU TESSEMA MD

08/27/2001

08/27/2001

07/31/2005

NORTH CHICAGO

IL

60064

LAKE

II III IV V

N

04/07/2011