SHAWN D'SOUZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078674

License Status

CANCELLED

Business

Title

First Name

SHAWN

Last Name

D'SOUZA

Business Name

SHAWN D'SOUZA MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/05/2021