GEMMA IDA DSOUZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015475

License Status

EXPIRED

Business

First Name

GEMMA IDA

Last Name

DSOUZA

Suffix

Business Name

GEMMA IDA DSOUZA MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006