GASHAW TEDLA TAFARI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

GASHAW TEDLA

Last Name

TAFARI

Business Name

GASHAW TEDLA TAFARI

Original Issue Date

03/11/1992

Effective Date

03/11/1992

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006