DAVID W CAMACHO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085829

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

CAMACHO JR

Suffix

Business Name

DAVID W CAMACHO JR MD

Original Issue Date

02/19/1993

Effective Date

02/19/1993

Expiration Date

07/31/1996

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006