LOUIS J SOUSA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

LOUIS J

Last Name

SOUSA

Business Name

LOUIS J SOUSA

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005