EMMANUEL SETUFE BANSA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053245

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

SETUFE

Last Name

BANSA

Suffix

Business Name

EMMANUEL SETUFE BANSA DO

Original Issue Date

08/19/1976

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021