CAMIA P ACEVEDO-CUSTODIO MD - Medical Doctor License in Illinois | # 036076225

CAMIA P ACEVEDO-CUSTODIO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076225

License Status

NOT RENEWED

Business

N

First Name

CAMIA P

Last Name

ACEVEDO-CUSTODIO

Suffix

MD

Business Name

CAMIA P ACEVEDO-CUSTODIO MD

Original Issue Date

10/24/1987

Effective Date

05/07/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017