HAILEMARIAM MEKITE WOLDE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

HAILEMARIAM

Middle

MEKITE

Last Name

WOLDE

Business Name

HAILEMARIAM MEKITE WOLDE DO

Original Issue Date

11/13/2015

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

ROSLYN HEIGHTS

State

Zip

11577

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023