License holder summary

Kidanu Birhanu is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kidanu Birhanu is St. Margaret Mercy Hospital, 24 Joliet Midwest Bariatric Institute, Suite 302, Dyer IN 46311. This licensed professional license is current. The license was granted 12/22/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kidanu Birhanu
Controlled Substance Registration - Physician
License number
01066132B
Date granted
12/22/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Margaret Mercy Hospital, 24 Joliet Midwest Bariatric Institute, Suite 302, Dyer IN 46311
indianalicensing.org
ID 5844423
LAST UPDATED 2024-05-06 04:04:58 UTC

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