LUIS RAFAEL DESOUZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016412

License Status

EXPIRED

Business

First Name

LUIS RAFAEL

Last Name

DESOUZA

Business Name

LUIS RAFAEL DESOUZA

Original Issue Date

09/28/1983

Effective Date

09/28/1983

Expiration Date

07/12/1985

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006