Dominique Carol D'Souza Md
InactiveIllinois license 125079129
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125079129
- Status
- Inactive (Cancelled)
- First issued
- July 7, 2021
- Expired
- July 6, 2024
- License holder
- Dominique Carol D'Souza
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- Family Medicine
- Current term began
- 07/07/2021
Other Illinois licenses under this name
-
IL
Dominique Carol D'Souza MdLicense 036169372 · Dominique Carol D'SouzaLicensed Physician and Surgeon (Medical Board)ActiveO Fallon, ILExpires Jul 31, 2029
-
IL
Dominique Carol D'Souza MdLicense 33*****80 · Dominique Carol D'SouzaLicensed Physician Controlled Substance (Medical Board)ActiveO Fallon, ILExpires Jul 31, 2029
Contact
O Fallon, IL 62269
Saint Clair County