DAVID J D'SOUZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024212

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

D'SOUZA

Business Name

DAVID J D'SOUZA

Original Issue Date

06/24/1989

Effective Date

06/24/1989

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006