GIRMA B ASSEFA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

GIRMA B

Last Name

ASSEFA

Suffix

Business Name

GIRMA B ASSEFA MD

Original Issue Date

04/07/1989

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023