ANTHONY BARTHOLOMEW D'SOUZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064308

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

BARTHOLOMEW

Last Name

D'SOUZA

Business Name

ANTHONY BARTHOLOMEW D'SOUZA MD

Original Issue Date

05/07/1982

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023