GODWIN H D'SOUZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

GODWIN

Middle

Last Name

D'SOUZA

Suffix

Business Name

GODWIN H D'SOUZA MD

Original Issue Date

07/21/1995

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023