VENANCIO A M DECASTRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051613

License Status

NOT RENEWED

Business

First Name

VENANCIO A M

Last Name

DECASTRO

Suffix

Business Name

VENANCIO A M DECASTRO MD

Original Issue Date

08/15/1975

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017