EMMANUEL SETUFE BANSA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

SETUFE

Last Name

BANSA

Suffix

Business Name

EMMANUEL SETUFE BANSA DO

Original Issue Date

01/01/1997

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021