ASMAMAW KASSIE BEYENE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

ASMAMAW

Middle

KASSIE

Last Name

BEYENE

Suffix

Business Name

ASMAMAW KASSIE BEYENE MD

Original Issue Date

11/07/2007

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60516

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023