NIRAIN A D'SOUZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109876

License Status

ACTIVE

Business

First Name

NIRAIN

Middle

Last Name

D'SOUZA

Suffix

Business Name

NIRAIN A D'SOUZA MD

Original Issue Date

08/07/2003

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/13/2023