License holder summary

Zelalem Wodajo Kebede is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Zelalem Wodajo Kebede is 9247 Broadway Ste B, Merrillville IN 46410. This licensed professional license is not current. The license was granted 08/11/2004 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Zelalem Wodajo Kebede
Controlled Substance Registration - Physician
License number
01058145B
Date granted
08/11/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9247 Broadway Ste B, Merrillville IN 46410
indianalicensing.org
ID 5892002
LAST UPDATED 2024-03-16 23:23:42 UTC

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