LINCOLN MARIO DESOUZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062355

License Status

NOT RENEWED

Business

First Name

LINCOLN MARIO

Last Name

DESOUZA

Suffix

Business Name

LINCOLN MARIO DESOUZA MD

Original Issue Date

06/19/1981

Effective Date

06/19/1981

Expiration Date

07/31/1987

City

HARLAN

State

Zip

40831

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006