License holder summary

Asefa Jajaw Mekonnen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Asefa Jajaw Mekonnen is Medical Specialists, Inc., P.C., 919 Main Street, Suite 202, Dyer IN 46311. This licensed professional license is not current. The license was granted 05/22/2002 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Asefa Jajaw Mekonnen
Controlled Substance Registration - Physician
License number
01056205B
Date granted
05/22/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Medical Specialists, Inc., P.C., 919 Main Street, Suite 202, Dyer IN 46311
indianalicensing.org
ID 5844114
LAST UPDATED 2024-02-14 03:21:12 UTC

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