BERHANU GOSSAYE MELKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

BERHANU

Middle

GOSSAYE

Last Name

MELKA

Suffix

Business Name

BERHANU GOSSAYE MELKA MD

Original Issue Date

07/26/2010

Effective Date

07/26/2010

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011