YOHANNES GHIDEY 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

First Name

YOHANNES

Last Name

GHIDEY

Business Name

YOHANNES GHIDEY

Original Issue Date

12/18/1997

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021