CAMIA ACEVEDO CUSTODIO
Controlled Substance Registration - Physician
Indiana 01023123B Expired
This Indiana license was held by CAMIA ACEVEDO CUSTODIO. The license is no longer active. It was granted on 02/18/1994 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01023123B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/18/1994 (over 31 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
ST JOSEPH HOSPITAL AT MARSHALL COUNTY, 1915 LAKE AVENUE, PLYMOUTH IN 46563