JENNIFER MARIE D'SOUZA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131701

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

D'SOUZA

Business Name

JENNIFER MARIE D'SOUZA DO

Original Issue Date

11/08/2012

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017