License Directory

Edsa Mehary Negussie

Active

Michigan license 4301068429

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301068429
Status
Active
First issued
March 23, 1999
Expires
March 23, 2027
License holder
Edsa Mehary Negussie
Entity type
Individual

Classifications

Contact

Providence Hospital - Dept Of Radiology
16001 West Nine Mile Road
Southfield, MI 48075
Oakland County