NEBIYU YESHITELA BIRU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154103

License Status

NOT RENEWED

Business

Title

First Name

NEBIYU

Middle

YESHITELA

Last Name

BIRU

Business Name

NEBIYU YESHITELA BIRU MD

Original Issue Date

08/26/2020

Effective Date

08/26/2020

Expiration Date

07/31/2023

City

ALEXANDRIA

State

Zip

22304

Ever Disciplined

LastModifiedDate

11/30/2023