OUEDRAEGO BASGA BERNARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061428

License Status

NOT RENEWED

Business

First Name

OUEDRAEGO BASGA

Last Name

BERNARD

Suffix

Business Name

OUEDRAEGO BASGA BERNARD MD

Original Issue Date

12/19/1980

Effective Date

05/10/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021