License Directory

Dominique Carol D'Souza Md

Inactive

Illinois 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

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 Md
    License 036169372 · Dominique Carol D'Souza
    Licensed Physician and Surgeon (Medical Board)
    Active
    O Fallon, IL
    Expires Jul 31, 2029
  • IL
    Dominique Carol D'Souza Md
    License 33*****80 · Dominique Carol D'Souza
    Licensed Physician Controlled Substance (Medical Board)
    Active
    O Fallon, IL
    Expires Jul 31, 2029

Contact

O Fallon, IL 62269
Saint Clair County