SAVIO PROTO D'SOUZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

SAVIO

Middle

PROTO

Last Name

D'SOUZA

Business Name

SAVIO PROTO D'SOUZA MD

Original Issue Date

10/08/2014

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

BRANDON

State

Zip

33511

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021