BENEDICT D SOUZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064004

License Status

NOT RENEWED

Business

First Name

BENEDICT

Last Name

D SOUZA

Suffix

Business Name

BENEDICT D SOUZA MD

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006