JASON MANUEL SOUZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054832

License Status

CANCELLED

Business

First Name

JASON

Middle

MANUEL

Last Name

SOUZA

Suffix

Business Name

JASON MANUEL SOUZA MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/25/2011