CAMIA P ACEVEDO-CUSTODIO MD

Licensed Physician Controlled Substance

Illinois  336039513   Not Renewed

This Illinois license was held by CAMIA P ACEVEDO-CUSTODIO MD. The license is no longer active. It was granted on 11/17/1987 and expired on 07/31/1996

LICENSE DETAILS

  • License Number: 336039513
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
  • Status: Not Renewed
  • Date Granted: 11/17/1987 (over 38 years ago)
  • Expiry Date: 07/31/1996 (about 30 years ago)

LOCATIONS

A Address

SPRINGFIELD, IL 62701