CAMIA P ACEVEDO-CUSTODIO MD
Licensed Physician Controlled Substance (Schedules Iii Iin Iiin Iv V )
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 The license is no longer active.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 (Schedules III IIN IIIN IV V )
- Status: Not Renewed
- Date Granted: 11/17/1987 (over 37 years ago)
- Expiry Date: 07/31/1996 (almost 29 years ago)
LOCATIONS
A Address
San Jose, IL 626829527