JORGE P DE SOUZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021331

License Status

EXPIRED

Business

First Name

JORGE

Middle

Last Name

DE SOUZA

Business Name

JORGE P DE SOUZA

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006