SETH K OSAFO SR MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

ACTIVE

N

SETH

K

OSAFO

SR MD

SETH K OSAFO SR MD

08/14/2001

06/23/2023

07/31/2026

BOLINGBROOK

IL

60440

WILL

II III IV V

N

06/23/2023