NEBIYU YESHITELA BIRU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

NEBIYU

Middle

YESHITELA

Last Name

BIRU

Business Name

NEBIYU YESHITELA BIRU MD

Original Issue Date

09/17/2020

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023