License holder summary

Mussa Banisadre is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mussa Banisadre is 8833 Bold Ruler, Fairoaks, CA 95628. This doctor license is not current. The license was granted 08/10/1979 and expired on 12/31/1985.

Department of Safety and Professional Services

Board of Medical Practice

Mussa Banisadre
Medical - Physician And Surgeon
License number
24879
Date granted
08/10/1979
Date expires
12/31/1985
Class
Medical - Physician And Surgeon
Status
Canceled
Address
8833 Bold Ruler, Fairoaks, CA 95628
doctorsminnesota.org
ID 22157366
LAST UPDATED 2026-06-02 19:26:10 UTC

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