PAULOS BERHANU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

PAULOS

Last Name

BERHANU

Business Name

PAULOS BERHANU MD

Original Issue Date

09/02/2014

Effective Date

09/02/2014

Expiration Date

07/31/2017

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017