EDWARDA DESOUZA GOLDEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072834

License Status

EXPIRED

Business

Title

First Name

EDWARDA

Middle

DESOUZA

Last Name

GOLDEN

Business Name

EDWARDA DESOUZA GOLDEN MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2019

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/02/2019