ZEWDITU ELSABET ASFAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

ZEWDITU

Middle

ELSABET

Last Name

ASFAW

Suffix

Business Name

ZEWDITU ELSABET ASFAW MD

Original Issue Date

08/30/2010

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017