DOMINIQUE CAROL D'SOUZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169372

License Status

ACTIVE

Business

Title

First Name

DOMINIQUE

Middle

CAROL

Last Name

D'SOUZA

Business Name

DOMINIQUE CAROL D'SOUZA MD

Original Issue Date

03/18/2024

Effective Date

03/18/2024

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/14/2024