SHALOME MARIA DSOUZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062430

License Status

EXPIRED

Business

First Name

SHALOME

Middle

MARIA

Last Name

DSOUZA

Suffix

Business Name

SHALOME MARIA DSOUZA MD

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/26/2018