VIVIAN JOHN DSOUZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054467

License Status

NOT RENEWED

Business

First Name

VIVIAN JOHN

Last Name

DSOUZA

Suffix

Business Name

VIVIAN JOHN DSOUZA MD

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

07/31/1999

City

ORMOND BEACH

State

Zip

32174

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006