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
LAST UPDATED 2026-06-02 19:26:10 UTC
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