JACQUELINE K SOUZA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110540

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

SOUZA

Business Name

JACQUELINE K SOUZA

Original Issue Date

12/05/2003

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023