ANICETO M P D SOUSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

ANICETO M P D

Last Name

SOUSA

Suffix

Business Name

ANICETO M P D SOUSA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006