ABEBE DESSIE KASSAHUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

ABEBE

Middle

DESSIE

Last Name

KASSAHUN

Suffix

Business Name

ABEBE DESSIE KASSAHUN MD

Original Issue Date

05/29/2007

Effective Date

07/07/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011