Tesfu Lisanework Hailu
ActiveMichigan license EMC0006239
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0006239
- Status
- Active
- First issued
- December 10, 2024
- Expires
- December 10, 2027
- License holder
- Tesfu Lisanework Hailu
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
5200 N Prospect Rd
Peoria, IL 61614
Peoria, IL 61614