EMMANUEL SETUFE BANSA DO - Medical Doctor License in Illinois | # 036053245

EMMANUEL SETUFE BANSA DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053245

License Status

NOT RENEWED

Business

N

First Name

EMMANUEL

Middle

SETUFE

Last Name

BANSA

Suffix

DO

Business Name

EMMANUEL SETUFE BANSA DO

Original Issue Date

08/19/1976

Effective Date

04/11/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021