YOHANNES ABERRA BAYISSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

YOHANNES

Middle

ABERRA

Last Name

BAYISSA

Business Name

YOHANNES ABERRA BAYISSA MD

Original Issue Date

08/20/2013

Effective Date

07/02/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021