ANNE ERICKSON SOUZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074794

License Status

CANCELLED

Business

Title

First Name

ANNE

Middle

ERICKSON

Last Name

SOUZA

Business Name

ANNE ERICKSON SOUZA MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/24/2022