BENEDICT D SOUZA MD - Medical Doctor License in Missouri | # 036064004

BENEDICT D SOUZA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064004

License Status

NOT RENEWED

Business

N

First Name

BENEDICT

Last Name

D SOUZA

Suffix

MD

Business Name

BENEDICT D SOUZA MD

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006