PATRICK J CAMODECA - Medical Doctor License in Illinois | # 125022414

PATRICK J CAMODECA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022414

License Status

EXPIRED

Business

N

First Name

PATRICK J

Last Name

CAMODECA

Business Name

PATRICK J CAMODECA

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

07/01/1991

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006