CORAZON B CUSTODIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087232

License Status

ACTIVE

Business

First Name

CORAZON B

Last Name

CUSTODIO

Suffix

Business Name

CORAZON B CUSTODIO MD

Original Issue Date

10/05/1993

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023