STEPHEN F BANSBERG - Medical Doctor License in Illinois | # 125014137

STEPHEN F BANSBERG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014137

License Status

EXPIRED

Business

N

First Name

STEPHEN

Middle

F

Last Name

BANSBERG

Business Name

STEPHEN F BANSBERG

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006