JASON MANUEL SOUZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127915

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MANUEL

Last Name

SOUZA

Suffix

Business Name

JASON MANUEL SOUZA MD

Original Issue Date

05/24/2011

Effective Date

04/26/2017

Expiration Date

09/30/2020

City

BETHESDA

State

Zip

20817

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021