ADDIS ALEMU ASFAW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058171

License Status

CANCELLED

Business

Title

First Name

ADDIS

Middle

ALEMU

Last Name

ASFAW

Business Name

ADDIS ALEMU ASFAW MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

MEMPHIS

State

Zip

38103

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/27/2010