KENNETH B CAMACHO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101777

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

CAMACHO

Suffix

Business Name

KENNETH B CAMACHO MD

Original Issue Date

01/05/2000

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

07/24/2023