JACQUELINE K SOUZA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

SOUZA

Business Name

JACQUELINE K SOUZA

Original Issue Date

06/08/2004

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023