ALISHA KITHCART KIDANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

ALISHA

Last Name

KITHCART KIDANE

Business Name

ALISHA KITHCART KIDANE MD

Original Issue Date

01/25/2010

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014