FLORENCE FIKRE KOTISO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

FLORENCE

Middle

FIKRE

Last Name

KOTISO

Business Name

FLORENCE FIKRE KOTISO MD

Original Issue Date

07/31/2012

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

COLUMBIA HEIGHTS

State

Zip

55421

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017