ANTONIO CAMACHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046846

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

CAMACHO

Suffix

Business Name

ANTONIO CAMACHO MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/31/1987

City

WILLOWBROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1982000010

Action

Revocation

Discipline Start Date

09/25/1985