YODIT J KEFLEMARIAM MD 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

YODIT

Middle

Last Name

KEFLEMARIAM

Suffix

Business Name

YODIT J KEFLEMARIAM MD

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

07/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011