ENDALE T MEKONEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

ENDALE T

Last Name

MEKONEN

Suffix

Business Name

ENDALE T MEKONEN MD

Original Issue Date

05/18/1993

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023