OUEDRAEGO BASGA BERNARD MD - Medical Doctor License in Illinois | # 036061428

OUEDRAEGO BASGA BERNARD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061428

License Status

NOT RENEWED

Business

N

First Name

OUEDRAEGO BASGA

Last Name

BERNARD

Suffix

MD

Business Name

OUEDRAEGO BASGA BERNARD MD

Original Issue Date

12/19/1980

Effective Date

05/10/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021