ANICETO M P D SOUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041265

License Status

NOT RENEWED

Business

First Name

ANICETO M P D

Last Name

SOUSA

Suffix

Business Name

ANICETO M P D SOUSA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/06/2008