Asefa Jajaw Mekonnen
Controlled Substance Registration - Physician
Indiana 01056205B Expired
This Indiana license was held by Asefa Jajaw Mekonnen. The license is no longer active. It was granted on 05/22/2002 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01056205B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/22/2002 (about 22 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
Medical Specialists, Inc., P.C., 919 Main Street, Suite 202, Dyer IN 46311