TAMMY C D'SOUZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101287

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

D'SOUZA

Business Name

TAMMY C D'SOUZA

Original Issue Date

09/16/1999

Effective Date

09/16/1999

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/20/2015