MANUEL JOSEPH SOUSA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015163

License Status

NOT RENEWED

Business

First Name

MANUEL JOSEPH

Last Name

SOUSA

Suffix

DDS

Business Name

MANUEL JOSEPH SOUSA DDS

Original Issue Date

07/10/1975

Effective Date

07/10/1975

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005